Individual
TIFFANY ANN SALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
650 CENTENNIAL CENTRE BLVD, HOBART, WI 54155-8989
(920) 006-8583
Mailing address
12107 TANNERY RD, MISHICOT, WI 54228-9408
(920) 255-5544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8170-26
WI
Other
Enumeration date
02/09/2023
Last updated
03/24/2023
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