Provider Demographics
NPI:1043539083
Name:SALVATORI, RENATA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:RENATA
Middle Name:
Last Name:SALVATORI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8891 BELLE RIVE BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-1628
Mailing Address - Country:US
Mailing Address - Phone:801-472-4749
Mailing Address - Fax:
Practice Address - Street 1:320 DUNDAS DR STE 8
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-5591
Practice Address - Country:US
Practice Address - Phone:904-757-9808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist