Individual
SELESTE SALAMANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5955 QUINN ORCHARD RD, FREDERICK, MD 21704-6656
(301) 662-6901
(301) 662-6730
Mailing address
5955 QUINN ORCHARD RD, FREDERICK, MD 21704-6656
(301) 662-6901
(301) 662-6730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06711
MD
225X00000X
Occupational Therapist
105894
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089424801
—
TX
05
—
089424803
—
TX
Enumeration date
03/30/2007
Last updated
10/26/2015
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