Provider Demographics
NPI:1346832870
Name:SEILHAMMER, JENNA SHAE (OTR/L)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:SHAE
Last Name:SEILHAMMER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22402 HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:NEELYTON
Mailing Address - State:PA
Mailing Address - Zip Code:17239-9446
Mailing Address - Country:US
Mailing Address - Phone:717-860-5204
Mailing Address - Fax:
Practice Address - Street 1:4702 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:PA
Practice Address - Zip Code:17004-9251
Practice Address - Country:US
Practice Address - Phone:877-312-6576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC017245225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist