Provider Demographics
NPI:1215262282
Name:LA SALVIA, CELESTE MARIE (OTR/L)
Entity type:Individual
Prefix:MS
First Name:CELESTE
Middle Name:MARIE
Last Name:LA SALVIA
Suffix:
Gender:F
Credentials:OTR/L
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9040 FITZSIMMONS DR
Mailing Address - Street 2:MADIGAN ARMY MEDICAL CENTER-- OCCUPATIONAL THERAPY
Mailing Address - City:JOINT BASE LEWIS MCCHORD
Mailing Address - State:WA
Mailing Address - Zip Code:98431-1000
Mailing Address - Country:US
Mailing Address - Phone:253-968-2330
Mailing Address - Fax:
Practice Address - Street 1:9040 FITZSIMMONS DR
Practice Address - Street 2:MADIGAN ARMY MEDICAL CENTER-- OCCUPATIONAL THERAPY
Practice Address - City:JOINT BASE LEWIS MCCHORD
Practice Address - State:WA
Practice Address - Zip Code:98431-1000
Practice Address - Country:US
Practice Address - Phone:253-968-2330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00004371225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist