Provider Demographics
NPI:1417171802
Name:TORRES-SALEH, BETTYE JEAN (PT)
Entity Type:Individual
Prefix:
First Name:BETTYE
Middle Name:JEAN
Last Name:TORRES-SALEH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BETTYE
Other - Middle Name:JEAN
Other - Last Name:SALEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5834 SANTA LUCIA CT
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-1160
Mailing Address - Country:US
Mailing Address - Phone:805-216-6223
Mailing Address - Fax:
Practice Address - Street 1:2103 E GONZALES RD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-3757
Practice Address - Country:US
Practice Address - Phone:805-988-6358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18937225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist