Individual
MS. CAROL LYNN SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 S CHELTON RD, COLORADO SPRINGS, CO 80910-2311
(719) 473-7780
Mailing address
2610 HOLLYWOOD DR, PUEBLO, CO 81005-3313
(719) 821-6949
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
CO
224ZE0001X
Environmental Modification Occupational Therapy Assistant
—
CO
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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