Provider Demographics
NPI:1831475029
Name:SALINAS, CORDELIA (PTA)
Entity Type:Individual
Prefix:
First Name:CORDELIA
Middle Name:
Last Name:SALINAS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 EXPRESSWAY 83
Mailing Address - Street 2:
Mailing Address - City:PENITAS
Mailing Address - State:TX
Mailing Address - Zip Code:78576-2213
Mailing Address - Country:US
Mailing Address - Phone:956-532-9062
Mailing Address - Fax:
Practice Address - Street 1:1400 EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:PENITAS
Practice Address - State:TX
Practice Address - Zip Code:78576-2213
Practice Address - Country:US
Practice Address - Phone:956-532-9062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2084399225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant