Provider Demographics
NPI:1598149270
Name:SALINAS, JULIAN (OTR)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:
Last Name:SALINAS
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 W MAIN AVE STE 11
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:TX
Mailing Address - Zip Code:78573-1643
Mailing Address - Country:US
Mailing Address - Phone:956-451-8085
Mailing Address - Fax:
Practice Address - Street 1:1315 W MAIN AVE STE 11
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-1643
Practice Address - Country:US
Practice Address - Phone:956-451-8085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116877225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist