Provider Demographics
NPI:1558921387
Name:SALVORO, ODETTE PINILI (COTA)
Entity Type:Individual
Prefix:
First Name:ODETTE
Middle Name:PINILI
Last Name:SALVORO
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ODETTE P. SALVORO
Mailing Address - Street 2:1625 S. FEDERAL HIGHWAY APT. 404
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-7547
Mailing Address - Country:US
Mailing Address - Phone:954-330-8437
Mailing Address - Fax:
Practice Address - Street 1:ODETTE P. SALVORO
Practice Address - Street 2:1625 S. FEDERAL HIGHWAY APT. 404
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-7547
Practice Address - Country:US
Practice Address - Phone:954-330-8437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17244225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty