Doctor Name: | LINDA M SALAS-MAMARY |
NPI Number: | 1164404752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS OTRL CHT |
License Number: | |
Business Practice Address: | 100 Community Dr Suite 207 Tobyhanna, PA - 184668985 |
Business Phone Number: | 5708399975 |
Business Fax Number: | 5708399274 |
Mailing Address: | 100 Community Dr, Suite 207 TOBYHANNA |
State: | PA |
Postal Code: | 184668985 |
Phone Number: | 5708399975 |
Fax Number: | 5708399274 |
NPI Enumeration Date: | 11/18/2005 |
NPI Last Update Date: | 05/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |