Provider Demographics
NPI:1134768252
Name:SALVUCCI, LIA (OT)
Entity type:Individual
Prefix:
First Name:LIA
Middle Name:
Last Name:SALVUCCI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1679 FRANCESCHI RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-1871
Mailing Address - Country:US
Mailing Address - Phone:805-448-0097
Mailing Address - Fax:
Practice Address - Street 1:1679 FRANCESCHI RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-1871
Practice Address - Country:US
Practice Address - Phone:805-448-0097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19052225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist