Provider Demographics
NPI:1780750695
Name:SEILER, CHRISTINE DENISE (OTR)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:DENISE
Last Name:SEILER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:DENISE
Other - Last Name:WEGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:415 W QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:ANNVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17003-1730
Mailing Address - Country:US
Mailing Address - Phone:717-867-3074
Mailing Address - Fax:
Practice Address - Street 1:1700 S LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7529
Practice Address - Country:US
Practice Address - Phone:717-272-6621
Practice Address - Fax:717-228-5926
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008873225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist