Provider Demographics
NPI:1346243888
Name:SEYMOUR, CONNIE JOYCE (PT, PHD)
Entity Type:Individual
Prefix:DR
First Name:CONNIE
Middle Name:JOYCE
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ERNIES DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-1330
Mailing Address - Country:US
Mailing Address - Phone:978-952-0193
Mailing Address - Fax:
Practice Address - Street 1:9 ERNIES DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:MA
Practice Address - Zip Code:01460-1330
Practice Address - Country:US
Practice Address - Phone:978-952-0193
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA88382251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic