Provider Demographics
NPI:1700847662
Name:DO, SEATON Q (PT)
Entity Type:Individual
Prefix:
First Name:SEATON
Middle Name:Q
Last Name:DO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16502 N PENNSYLVANIA AVE STE C
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-9126
Mailing Address - Country:US
Mailing Address - Phone:405-285-9659
Mailing Address - Fax:405-285-8948
Practice Address - Street 1:16502 N PENNSYLVANIA AVE STE C
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-9126
Practice Address - Country:US
Practice Address - Phone:405-285-9659
Practice Address - Fax:405-285-8948
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT29781225100000X
OK4549225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WPT29781AMedicare ID - Type Unspecified
WPT29781BMedicare ID - Type Unspecified
WPT29781CMedicare ID - Type Unspecified