Provider Demographics
NPI:1215136379
Name:SALAMON, MAUREEN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:
Last Name:SALAMON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 HOLME AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1804
Mailing Address - Country:US
Mailing Address - Phone:215-379-1156
Mailing Address - Fax:
Practice Address - Street 1:122 HOLME AVE
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1804
Practice Address - Country:US
Practice Address - Phone:215-379-1156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005058-L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist