Individual
DARELYN LEE SALVATORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPTA
Contact information
Practice address
13306 E 84TH ST N, 101, OWASSO, OK 74055-8691
(918) 274-8066
(918) 274-8066
Mailing address
13306 E 84TH ST N, 101, OWASSO, OK 74055-8691
(918) 274-8066
(918) 274-8066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TA146
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA146
STATE LICENSE NUMBER
OK
Enumeration date
05/23/2007
Last updated
07/08/2007
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