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Individual

TYNEISE SEABOROUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
254 RED CEDAR ST STE 9, BLUFFTON, SC 29910-8967
(843) 970-2899
Mailing address
508 ATKINSON AVE, SAVANNAH, GA 31404-1830
(912) 401-4105
(912) 257-7616

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7682
SC
225X00000X
Occupational Therapist
OT004867
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003132673A
GA
Enumeration date
03/31/2008
Last updated
09/09/2025
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