Provider Demographics
NPI:1598026346
Name:SEASE, MARCI LYNN (PTA)
Entity Type:Individual
Prefix:MRS
First Name:MARCI
Middle Name:LYNN
Last Name:SEASE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:MARCI
Other - Middle Name:LYNN
Other - Last Name:POTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-444-8427
Mailing Address - Fax:
Practice Address - Street 1:355 WINDSOR LN
Practice Address - Street 2:
Practice Address - City:GIBSONBURG
Practice Address - State:OH
Practice Address - Zip Code:43431-1446
Practice Address - Country:US
Practice Address - Phone:419-637-2104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPTA.06596225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant