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Individual

SEIBATU GAOJIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
600 N BROAD ST STE 5 #690, MIDDLETOWN, DE 19709
(302) 423-2607
Mailing address
66 FOXTRAIL RD, SMYRNA, DE 19977-3979

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0002053
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
250562393
DE
Enumeration date
10/01/2020
Last updated
01/30/2025
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