Individual
CARLOS ALBERTO SALINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2777 JEFFERSON DAVIS HWY, SUITE 109, STAFFORD, VA 22554-8323
(540) 318-8615
Mailing address
2777 JEFFERSON DAVIS HWY, SUITE 109, STAFFORD, VA 22554-8323
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602660
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAA101671
MEDICARE PTAN
VA
Enumeration date
03/20/2012
Last updated
03/20/2012
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