Provider Demographics
NPI:1023870771
Name:SALAZAR, ISABEL (DPT)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 SW 60TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-2330
Mailing Address - Country:US
Mailing Address - Phone:305-343-5249
Mailing Address - Fax:
Practice Address - Street 1:4200 LAGUNA ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-1801
Practice Address - Country:US
Practice Address - Phone:305-441-5258
Practice Address - Fax:305-446-1565
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT39567225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist