Provider Demographics
NPI:1255742425
Name:SALINAS, OLAYA (PTA)
Entity type:Individual
Prefix:
First Name:OLAYA
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 1:3520 EXECUTIVE CENTER DR
Mailing Address - Street 2:SUITE 128
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1642
Mailing Address - Country:US
Mailing Address - Phone:512-343-0222
Mailing Address - Fax:210-692-0223
Practice Address - Street 1:3520 EXECUTIVE CENTER DR
Practice Address - Street 2:SUITE 128
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1642
Practice Address - Country:US
Practice Address - Phone:512-343-0222
Practice Address - Fax:210-692-0223
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-09
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2046050225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant