Provider Demographics
NPI:1679528004
Name:SALISBURY, BETH ANN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANN
Last Name:SALISBURY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4247 PRICES CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45338-8055
Mailing Address - Country:US
Mailing Address - Phone:937-962-9427
Mailing Address - Fax:
Practice Address - Street 1:4247 PRICES CREEK RD
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:OH
Practice Address - Zip Code:45338-8055
Practice Address - Country:US
Practice Address - Phone:937-938-0826
Practice Address - Fax:800-708-6150
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH003512225X00000X
IN31001760A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist