Individual
ISAAC SALINAS COSCULLUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9525 KENWOOD RD STE 10A, BLUE ASH, OH 45242-6177
(513) 745-9877
Mailing address
7567 CENTRAL PARKE BLVD STE A, MASON, OH 45040-6855
(513) 701-6104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-020694
OH
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2015
Last updated
09/20/2023
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