Provider Demographics
NPI:1598794455
Name:SALEFSKI, WENDY E (OTR/L CHT)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:E
Last Name:SALEFSKI
Suffix:
Gender:F
Credentials:OTR/L CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 W HAY ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62526-6328
Mailing Address - Country:US
Mailing Address - Phone:217-875-4263
Mailing Address - Fax:217-872-5481
Practice Address - Street 1:304 W HAY ST
Practice Address - Street 2:SUITE 215
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62526-6328
Practice Address - Country:US
Practice Address - Phone:217-875-4263
Practice Address - Fax:217-872-5481
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056002939225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00048437OtherRAILROAD MEDICARE
IL05832033OtherBLUE CROSS BLUE SHIELD
ILK00294Medicare PIN