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Individual
MR. MAX OTTO SELISCH
Active
Individual
MR. MAX OTTO SELISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007845
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831196245
NPI
—
Enumeration date
06/30/2005
Last updated
02/11/2016
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