Provider Demographics
NPI:1891034302
Name:SALONE, GENEVIEVE (OTR/L)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:SALONE
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 1:1002 KELLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-1591
Mailing Address - Country:US
Mailing Address - Phone:330-388-3383
Mailing Address - Fax:
Practice Address - Street 1:100 TANDEM VILLAGE RD
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-2382
Practice Address - Country:US
Practice Address - Phone:724-743-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC011758225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist