Provider Demographics
NPI:1356520415
Name:SALALAC, MARIA FELIZA V (RPT)
Entity type:Individual
Prefix:
First Name:MARIA FELIZA
Middle Name:V
Last Name:SALALAC
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16244 SOUTH MILITARY TRAIL
Mailing Address - Street 2:SUITE 700
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484
Mailing Address - Country:US
Mailing Address - Phone:941-916-2722
Mailing Address - Fax:561-496-0589
Practice Address - Street 1:16244 SOUTH MILITARY TRAIL
Practice Address - Street 2:SUITE 700
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484
Practice Address - Country:US
Practice Address - Phone:941-916-2722
Practice Address - Fax:561-496-0589
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT23655225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist