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NPI Code Detail

MEDICARE: MEREDITH KATE SALVIA DPT

MEDICARE: MEREDITH KATE SALVIA DPT
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
1225100000XPhysical Therapist1219697TX

General Provider Information

NPI Number : 1508111253
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH KATE SALVIA DPT
Provider Business Mailing Address
First Line : 3001 SALE ST APT 220
Second Line :
City : DALLAS
State : TX
Zip : 75219-4923
Country : US
Telephone Number : 405-816-1010
Fax Number :
Provider Business Practice Location Address
First Line : 9301 N CENTRAL EXPY STE 451
Second Line :
City : DALLAS
State : TX
Zip : 75231-0832
Country : US
Telephone Number : 214-220-2468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2012
Last Update Date : 07/18/2012

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Directions to “ MEREDITH KATE SALVIA DPT” Practice Location

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