1841520343 NPI number — MRS. KARLENE JOY SALGUERO PT, DPT, WCS, CLT

Table of content: MRS. KARLENE JOY SALGUERO PT, DPT, WCS, CLT (NPI 1841520343)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841520343 NPI number — MRS. KARLENE JOY SALGUERO PT, DPT, WCS, CLT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALGUERO
Provider First Name:
KARLENE
Provider Middle Name:
JOY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT, DPT, WCS, CLT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LIHOTA
Provider Other First Name:
KARLENE
Provider Other Middle Name:
JOY
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT, DPT, WCS, CLT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1841520343
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/14/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
36 SPINELLI PLACE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAMBRIDGE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02138
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-475-0549
Provider Business Mailing Address Fax Number:
617-492-4433

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
36 SPINELLI PLACE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMBRIDGE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-475-0549
Provider Business Practice Location Address Fax Number:
617-492-4433
Provider Enumeration Date:
01/05/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  18854 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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