Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 8439 | MA |
NPI | 1003119124 |
---|---|
Provider Name | Rhonda Salvo |
First Address | Norton, MA 02766-2906 |
Second Address | Norton, MA 02766-2906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2010 |
Last Update Date | 11/12/2010 |