Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 05011318A | IN |
NPI | 1518369321 |
---|---|
Provider Name | Steven Salinas |
First Address | Noblesville, IN 46062-7126 |
Second Address | Noblesville, IN 46062-7126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2014 |
Last Update Date | 18/11/2020 |