Provider Demographics
NPI:1558700872
Name:SEEL, MAGGIE ANN (OTR/L)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:ANN
Last Name:SEEL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:ANN
Other - Last Name:WOLENTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:220 S LECATO AVE
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106-1134
Mailing Address - Country:US
Mailing Address - Phone:609-504-5704
Mailing Address - Fax:
Practice Address - Street 1:1020 PITNEY RD
Practice Address - Street 2:
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-9716
Practice Address - Country:US
Practice Address - Phone:609-646-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0003587225X00000X
PAOC012476225X00000X
NJ46TR00816600225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist