Individual
SELBY FORSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60658
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327668
WA L&I
OR
05
—
500672697
—
OR
01
—
P01364229
RR MEDICARE PTAN
OR
Enumeration date
06/16/2014
Last updated
11/14/2014
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