Individual
MRS. CAROLYN MARIE SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3054
(301) 862-2505
Mailing address
42001 PLEASANT VALLEY LN, HOLLYWOOD, MD 20636-2311
(240) 237-8619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20403
MD
225100000X
Physical Therapist
PT16837
CA
Other
Enumeration date
03/23/2006
Last updated
07/03/2018
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