Provider Demographics
NPI:1285762948
Name:SALAMEH, ELIZABETH ELLYN (PT, MS, NCS)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ELLYN
Last Name:SALAMEH
Suffix:
Gender:F
Credentials:PT, MS, NCS
Other - Prefix:
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Mailing Address - Street 1:27 CHERRY TREE BEND RD
Mailing Address - Street 2:
Mailing Address - City:PORT MURRAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07865-4111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:187 COUNTY ROAD 519
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-1900
Practice Address - Country:US
Practice Address - Phone:908-847-3390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00996300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist