Provider Demographics
NPI:1881736254
Name:SEIBERT, VICKI SUZANNE (PT)
Entity type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:SUZANNE
Last Name:SEIBERT
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:4801 DORSEY HALL DR
Mailing Address - Street 2:STE 130
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7763
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9881 BROKEN LAND PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1172
Practice Address - Country:US
Practice Address - Phone:240-841-2639
Practice Address - Fax:240-841-2644
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2018-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD16124225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic