MEDICARE: MICHELLE SALERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OC009275	PA

General Provider Information

NPI Number	:	1336465210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE SALERA

Provider Business Mailing Address
First Line	:	PO BOX 7
Second Line	:
City	:	CONCORDVILLE
State	:	PA
Zip	:	19331-0007
Country	:	US
Telephone Number	:	800-578-7906
Fax Number	:	800-878-5497

Provider Business Practice Location Address
First Line	:	3440 VALLEY GREEN DR
Second Line	:
City	:	DREXEL HILL
State	:	PA
Zip	:	19026-2922
Country	:	US
Telephone Number	:	800-578-7906
Fax Number	:	800-878-5497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2010
Last Update Date	:	04/16/2010

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Directions to “ MICHELLE SALERA ” Practice Location

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