Provider Demographics
NPI:1275771636
Name:SEATON, JANINE VERONICA (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:JANINE
Middle Name:VERONICA
Last Name:SEATON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 SNEDIKER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-5027
Mailing Address - Country:US
Mailing Address - Phone:171-825-7491
Mailing Address - Fax:
Practice Address - Street 1:501 SNEDIKER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-5027
Practice Address - Country:US
Practice Address - Phone:718-257-4912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14163-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist