Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 1161263 | TX |
N | 2251G0304X | Physical Therapist - Geriatrics | 1161263 | TX |
N | 2251N0400X | Physical Therapist - Neurology | 1161263 | TX |
NPI | 1073675195 |
---|---|
Provider Name | Mrs. Donna Paulette Salas |
First Address | Corpus Christi, TX 78413-5715 |
Second Address | Corpus Christi, TX 78414-4100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 08/07/2007 |