Provider Demographics
NPI:1467919282
Name:SELTMAN, BO (DPT)
Entity Type:Individual
Prefix:DR
First Name:BO
Middle Name:
Last Name:SELTMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25850 AMAPOLAS ST
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2533
Mailing Address - Country:US
Mailing Address - Phone:913-220-0411
Mailing Address - Fax:
Practice Address - Street 1:25850 AMAPOLAS ST
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-2533
Practice Address - Country:US
Practice Address - Phone:913-220-0411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist