Provider Demographics
NPI:1801340260
Name:SALTOVSKAYA, KARINA (DPT)
Entity type:Individual
Prefix:MS
First Name:KARINA
Middle Name:
Last Name:SALTOVSKAYA
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 1:2546 E 13TH ST
Mailing Address - Street 2:APT B7
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4358
Mailing Address - Country:US
Mailing Address - Phone:908-692-0008
Mailing Address - Fax:
Practice Address - Street 1:2546 E 13TH ST
Practice Address - Street 2:APT B7
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4358
Practice Address - Country:US
Practice Address - Phone:908-692-0008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62040679225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist