Provider Demographics
NPI:1407531692
Name:SENCY, OLIVIA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:SENCY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 987
Mailing Address - Street 2:
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44062-0987
Mailing Address - Country:US
Mailing Address - Phone:440-993-1004
Mailing Address - Fax:
Practice Address - Street 1:2916 N RIDGE RD E
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-4396
Practice Address - Country:US
Practice Address - Phone:440-993-1004
Practice Address - Fax:440-574-7254
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PT020424OtherOTPTAT STATE LICENSE