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Individual

MR. DANIEL RAY SELBY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
3050 N LITCHFIELD RD, SUITE 100, GOODYEAR, AZ 85395-7804
(623) 935-5505
(623) 935-5551
Mailing address
3050 N LITCHFIELD RD, STE #100, GOODYEAR, AZ 85395-7804
(623) 386-2660
(623) 386-3412

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7151
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146642
AZ
Enumeration date
02/08/2006
Last updated
09/29/2011
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