Provider Demographics
NPI:1447445747
Name:SECKEL, LENA MANETTE (COTA)
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:MANETTE
Last Name:SECKEL
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:LENA
Other - Middle Name:MANETTE
Other - Last Name:HESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:4895 COUNTY ROAD 134
Mailing Address - Street 2:
Mailing Address - City:CARDINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43315-9560
Mailing Address - Country:US
Mailing Address - Phone:740-963-5290
Mailing Address - Fax:
Practice Address - Street 1:825 STATE ROUTE 61
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:OH
Practice Address - Zip Code:43334-9215
Practice Address - Country:US
Practice Address - Phone:614-794-2499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA-2832224Z00000X
OHOTA.02832224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant