Individual
PROF. RENEE NICOLE SALINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1620 READ RD, PICAYUNE, MS 39466-2710
(601) 798-1811
(601) 798-2362
Mailing address
1620 READ RD, PICAYUNE, MS 39466-2710
(601) 798-1811
(601) 798-2362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07167R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07167R
LA PT LICENSE NUMBER
LA
01
—
260038623
CLINIC TAX ID
LA
01
—
PT4303
PT LICENSE
MS
Enumeration date
06/08/2007
Last updated
12/09/2009
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