Provider Demographics
NPI:1285924878
Name:SEELEY, GUY A (PT)
Entity type:Individual
Prefix:
First Name:GUY
Middle Name:A
Last Name:SEELEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:51 MONROE STREET
Mailing Address - Street 2:SUITE 1207
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2466
Mailing Address - Country:US
Mailing Address - Phone:301-838-2040
Mailing Address - Fax:301-838-2041
Practice Address - Street 1:1700 REISTERSTOWN ROAD
Practice Address - Street 2:SUITE 125
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2978
Practice Address - Country:US
Practice Address - Phone:410-484-0081
Practice Address - Fax:410-484-0441
Is Sole Proprietor?:No
Enumeration Date:2011-04-15
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16411225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist