Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 9827 | CO |
N | 2251G0304X | Physical Therapist - Geriatrics | 9827 | CO |
N | 2251N0400X | Physical Therapist - Neurology | 9827 | CO |
N | 2251X0800X | Physical Therapist - Orthopedic | 9827 | CO |
NPI | 1366622219 |
---|---|
Provider Name | Dr. Danielle N. Selby |
First Address | Erie, CO 80516-7933 |
Second Address | Erie, CO 80516-7933 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2007 |
Last Update Date | 23/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9827 | PT LICENSE (01) | CO |