Individual
JENNIFER M. SEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2040 JOHN ROLFE PKWY, RICHMOND, VA 23238
(804) 754-0916
(804) 754-0919
Mailing address
8201 ATLEE RD STE D, MECHANICSVILLE, VA 23116-1815
(804) 569-1787
(804) 569-9787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208914
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487062568
MEDICAID QMB PROVIDER IDENTIFIER
VA
01
—
C05954
GROUP MEDICARE PTAN
VA
Enumeration date
08/01/2014
Last updated
06/29/2018
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