Provider Demographics
NPI:1457189482
Name:SELZER, BERNADETTE HELEN (OTR/L)
Entity type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:HELEN
Last Name:SELZER
Suffix:
Gender:
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 1:2473 W 11TH ST APT B
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-4401
Mailing Address - Country:US
Mailing Address - Phone:704-604-0844
Mailing Address - Fax:
Practice Address - Street 1:7377 CHATEAU DR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44130-6000
Practice Address - Country:US
Practice Address - Phone:440-842-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
OHOT012910225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist