Healthcare Provider Details

I. General information

NPI: 1700580529
Provider Name (Legal Business Name): MARIA SALINAS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA CORAZON ALO PT

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3928 S MEAD ST
SEATTLE WA
98118-2639
US

IV. Provider business mailing address

15834 TERRACE DR UNIT RO3
OAK FOREST IL
60452-3086
US

V. Phone/Fax

Practice location:
  • Phone: 708-253-3873
  • Fax:
Mailing address:
  • Phone: 708-253-3873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT61252241
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: