Individual
DANIEL DALE SELSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
634 STEVENS AVE., SOLANA BEACH, CA 92075
(858) 350-6290
(858) 350-6775
Mailing address
634 STEVENS AVE., SOLANA BEACH, CA 92075
(858) 350-6290
(858) 350-6775
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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