Provider Demographics
NPI:1124238605
Name:SEASE, JAMES LEONARD (PT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LEONARD
Last Name:SEASE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3576 GREEN VIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-7066
Mailing Address - Country:US
Mailing Address - Phone:803-506-4904
Mailing Address - Fax:
Practice Address - Street 1:1215 ALICE DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-1905
Practice Address - Country:US
Practice Address - Phone:803-774-5201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist