Individual
SENECA SELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1700 SW GABAR CT, MOUNTAIN HOME, ID 83647-2632
(513) 293-3599
Mailing address
1700 SW GABAR CT, MOUNTAIN HOME, ID 83647-2632
(513) 293-3599
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2261674
ID
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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