# JOSEPH MARK SEBULSKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104884055
- **Gender:** Man
- **Credential:** OT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 0720000310 | VT | — |
| 225X00000X | Occupational Therapist | 1016749 | OR | Yes |
| 225X00000X | Occupational Therapist | 1093 | NH | — |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 231021 | — | OR |