Provider Demographics
NPI:1528028891
Name:SALIBA, MAUREEN (ATC, CSCS)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:
Last Name:SALIBA
Suffix:
Gender:F
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 HOLLY AVE
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3850
Mailing Address - Country:US
Mailing Address - Phone:603-621-0250
Mailing Address - Fax:
Practice Address - Street 1:100 ELLIOTT ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-2306
Practice Address - Country:US
Practice Address - Phone:603-621-0250
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH782255A2300X
MA7152255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer