Individual
CHAD SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2950 LAFRANIER RD, TRAVERSE CITY, MI 49686-4918
(231) 947-0506
Mailing address
4049 MORRISON RD NW, RAPID CITY, MI 49676-9482
(906) 250-8943
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005086
MI
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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