Provider Demographics
NPI:1306176664
Name:SALKOWSKI, GRETCHEN ELIZABETH (RRT)
Entity type:Individual
Prefix:MRS
First Name:GRETCHEN
Middle Name:ELIZABETH
Last Name:SALKOWSKI
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:MISS
Other - First Name:GRETCHEN
Other - Middle Name:ELIZABETH
Other - Last Name:GOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRTT
Mailing Address - Street 1:4404 FITCH AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-3907
Mailing Address - Country:US
Mailing Address - Phone:410-665-0107
Mailing Address - Fax:
Practice Address - Street 1:4404 FITCH AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-3907
Practice Address - Country:US
Practice Address - Phone:410-665-0107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-10
Last Update Date:2010-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL0008472279H0200X
DEC9-00007432279H0200X
PAYM0113932279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health