Provider Demographics
NPI:1184083313
Name:SEYMOUR, MARY (PT)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 VILLA WEST DR
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-0819
Mailing Address - Country:US
Mailing Address - Phone:419-788-5343
Mailing Address - Fax:
Practice Address - Street 1:2101 GREENDALE AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-7160
Practice Address - Country:US
Practice Address - Phone:419-422-3978
Practice Address - Fax:419-422-3928
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-16
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1439314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility