Individual
LINDA M SALAS-MAMARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL CHT
Contact information
Practice address
100 COMMUNITY DR, SUITE 207, TOBYHANNA, PA 18466-8985
(570) 839-9975
(570) 839-9274
Mailing address
100 COMMUNITY DR, SUITE 207, TOBYHANNA, PA 18466-8985
(570) 839-9975
(570) 839-9274
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC005914L
PA
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0325890000
BLUE SHIELD
PA
01
—
2101568
AETNA
PA
01
—
35365
BLUE SHIELD
PA
01
—
50017331
CAPITAL BLUE CROSS
PA
01
—
807285
FIRST PRIORITY
PA
Enumeration date
11/18/2005
Last updated
05/17/2010
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