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Individual

CAROLYN M. SALAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002093
WA
225XE1200X
Ergonomics Occupational Therapist
OT00002093
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
91753U
REGENCE BLUE SHIELD PIN
WA
Enumeration date
08/10/2006
Last updated
07/17/2007
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