Individual
DR. NOELLE SELKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, ATC
Contact information
Practice address
251C MCORMICK HALL, CAMPUS BOX 5120, NORMAL, IL 61790
(716) 940-1212
Mailing address
101 AMBROSE WAY, NORMAL, IL 61761-1821
(716) 940-1212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003259
IL
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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