Individual
JACOB SELBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
59 HARRINGTON CT, COLCHESTER, CT 06415-1207
(860) 537-2339
Mailing address
319 WASHINGTON ST, NORWICH, CT 06360-2719
(860) 705-5727
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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