Provider Demographics
NPI:1558993485
Name:SALVINO, EUNICIE (PT)
Entity Type:Individual
Prefix:
First Name:EUNICIE
Middle Name:
Last Name:SALVINO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 BATTLEY DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-7253
Mailing Address - Country:US
Mailing Address - Phone:615-624-3647
Mailing Address - Fax:
Practice Address - Street 1:769 CHERAW RD
Practice Address - Street 2:
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-7158
Practice Address - Country:US
Practice Address - Phone:910-582-0021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-09
Last Update Date:2020-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist