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Individual

DOUGLAS SEYFRIED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
411 CANISTEO ST, HORNELL, NY 14843-2104
(607) 324-8000
Mailing address
411 CANISTEO ST, HORNELL, NY 14843-2104
(607) 324-8000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010600
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
842327
MPN/ACN
NY
Enumeration date
10/10/2006
Last updated
07/08/2007
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