Marciel Mary Selby
Occupational Therapist Assistive Technology Supplier Assistive Technology Practitioner Orientation and Mobility Training Provider
W7195 Territorial Rd
Elkhorn
, Wisconsin 53121-2858
Marciel Mary Selby
Occupational Therapist Assistive Technology Supplier Assistive Technology Practitioner Orientation and Mobility Training Provider
W7195 Territorial Rd
Elkhorn
, Wisconsin 53121-2858
(262) 495-2640
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About
Features
Specialties
- Assistive Technology Practitioner
- Assistive Technology Supplier
- Orientation and Mobility Training Provider
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Marciel Mary Selby
- W7195 Territorial Rd
- Elkhorn, WI
- Zip : 53121-2858
- Phone : (262) 495-2640
Second Address
- Marciel Mary Selby
- W7195 Territorial Rd
- Elkhorn, WI
- Zip : 53121-2858
- Phone : (262) 495-2640
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FAQs
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Is Marciel Mary Selby a sole practitioner?
Is Marciel Mary Selby accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225CA2400X | Assistive Technology Practitioner | ||
| N | 225CA2500X | Assistive Technology Supplier | ||
| N | 225CX0006X | Orientation and Mobility Training Provider | ||
| N | 225X00000X | Occupational Therapist |
National Provider Identifier
| NPI | 1265571830 |
|---|---|
| Provider Name | Marciel Mary Selby |
| First Address | Elkhorn, WI 53121-2858 |
| Second Address | Elkhorn, WI 53121-2858 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 40775300 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.