Individual
JEFFREY SCOTT SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
203 BRUCE CT, DANVILLE, KY 40422-1948
(859) 236-9292
(859) 236-3713
Mailing address
PO BOX 426, DANVILLE, KY 40423-0426
(859) 236-9292
(859) 236-3713
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
133600
KY
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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