Individual
SELMA BALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4730 COLBY AVE, EVERETT, WA 98203-2927
(425) 385-5254
Mailing address
4730 COLBY AVE, EVERETT, WA 98203-2927
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001572
WA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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