Provider Demographics
NPI:1609848571
Name:SALSBURG, CAROLYNN ANN (ATC)
Entity Type:Individual
Prefix:
First Name:CAROLYNN
Middle Name:ANN
Last Name:SALSBURG
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 CHAUTAUQUA AVE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-7736
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2900 JENKINS AVE
Practice Address - Street 2:LLOYD NOBLE CENTER
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73019-5019
Practice Address - Country:US
Practice Address - Phone:450-325-8326
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4482255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer