Selby, Marciel Mary

Selby, Marciel Mary is an sole proprietor health care provider with primary practice located at W7195 Territorial Rd , Elkhorn WI 53121-2858. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Practitioner, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Supplier, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orientation and Mobility Training Provider, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Practitioner is her primary health care specialty. Selby, Marciel Mary can be contacted via phone (262) 495-2640.

Contact Information

Primary practice address
W7195 Territorial Rd Elkhorn WI 53121-2858
Fax:
Website:

Profile Details

NPI number 1265571830
LBN Legal business name Selby, Marciel Mary
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265571830 NPPES
Wisconsin MEDICAID 40775300

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