MEDICARE: WANDA SALZER RRT,RCP

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	227900000X	Registered Respiratory Therapist	A-1018	NC

General Provider Information

NPI Number	:	1710170378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WANDA SALZER RRT,RCP

Provider Business Mailing Address
First Line	:	3309 WHITTINGHAM DR
Second Line	:
City	:	NEW HILL
State	:	NC
Zip	:	27562-8986
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3309 WHITTINGHAM DR
Second Line	:
City	:	NEW HILL
State	:	NC
Zip	:	27562-8986
Country	:	US
Telephone Number	:	919-387-1862
Fax Number	:

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

Provider Enumeration Date	:	08/27/2007
Last Update Date	:	08/27/2007

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