Provider Demographics
NPI:1831741685
Name:SALERNO, TIFFANEY E (COTA/L)
Entity type:Individual
Prefix:
First Name:TIFFANEY
Middle Name:E
Last Name:SALERNO
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 S PRAIRIE AVE
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81005-2307
Mailing Address - Country:US
Mailing Address - Phone:719-597-0822
Mailing Address - Fax:719-523-7729
Practice Address - Street 1:1321 S PRAIRIE AVE
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81005-2307
Practice Address - Country:US
Practice Address - Phone:719-597-0822
Practice Address - Fax:719-523-7729
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-11
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant