Provider Demographics
NPI:1790467199
Name:SEIDER, JULIA
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SEIDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3449 RANDALL RD
Mailing Address - Street 2:
Mailing Address - City:RANSOMVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14131-9610
Mailing Address - Country:US
Mailing Address - Phone:716-343-5193
Mailing Address - Fax:
Practice Address - Street 1:3449 RANDALL RD
Practice Address - Street 2:
Practice Address - City:RANSOMVILLE
Practice Address - State:NY
Practice Address - Zip Code:14131-9610
Practice Address - Country:US
Practice Address - Phone:716-343-5193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist