Healthcare Provider Details

I. General information

NPI: 1710170378
Provider Name (Legal Business Name): WANDA SALZER RRT,RCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 08/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3309 WHITTINGHAM DR
NEW HILL NC
27562-8986
US

IV. Provider business mailing address

3309 WHITTINGHAM DR
NEW HILL NC
27562-8986
US

V. Phone/Fax

Practice location:
  • Phone: 919-387-1862
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberA-1018
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: