Seely, Jessica Lynn Lopez

Seely, Jessica Lynn Lopez is an sole proprietor health care provider with primary practice located at 12 Glen Dr , Sound Beach NY 11789-1224. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Seely, Jessica Lynn Lopez can be contacted via phone (631) 371-3178.

Contact Information

Primary practice address
12 Glen Dr Sound Beach NY 11789-1224
Phone: (631) 371-3178
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT18987 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT18987 Florida

Profile Details

NPI number 1104470830
LBN Legal business name Seely, Jessica Lynn Lopez
Credentials OTD, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2019
Last updated Feb 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104470830 NPPES
New York Other 027256 NY OT LICENSE
New York Other OT18987 NY OT LICENSE
New York Other OT21512 NY OT LICENSE

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