Provider Demographics
NPI:1770891327
Name:SEAVEY, DEBRA ANN (RPT)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:ANN
Last Name:SEAVEY
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:MISS
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:WENTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPT
Mailing Address - Street 1:2859 YONKERS CT
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-8412
Mailing Address - Country:US
Mailing Address - Phone:407-542-4734
Mailing Address - Fax:
Practice Address - Street 1:2859 YONKERS CT
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8412
Practice Address - Country:US
Practice Address - Phone:407-542-4734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 24253225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist