Provider Demographics
NPI:1568681849
Name:SALENSKI, THERESA ELLEN (OTR)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:ELLEN
Last Name:SALENSKI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 MARTIN LUTHER KING JR WAY
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-3135
Mailing Address - Country:US
Mailing Address - Phone:206-595-2075
Mailing Address - Fax:
Practice Address - Street 1:1835 MARTIN LUTHER KING JR WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-3135
Practice Address - Country:US
Practice Address - Phone:206-595-2075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00003696225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist