Individual
MARJANE BRANNEN SELLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
499 E SHORE RD, DELANSON, NY 12053-3113
(518) 339-6880
Mailing address
499 E SHORE RD, DELANSON, NY 12053-3113
(518) 339-6880
(518) 895-8864
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
003721-1
NY
Other
Enumeration date
09/18/2008
Last updated
03/13/2013
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