Provider Demographics
NPI:1891515177
Name:SALT MARSH PEDIATRIC THERAPY
Entity type:Organization
Organization Name:SALT MARSH PEDIATRIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:JOYNER
Authorized Official - Last Name:TALBOT
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT, PCS
Authorized Official - Phone:912-667-6443
Mailing Address - Street 1:7 COUNTRY WALK CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-3157
Mailing Address - Country:US
Mailing Address - Phone:912-667-6443
Mailing Address - Fax:
Practice Address - Street 1:109 OGLETHORPE PROFESSIONAL BLVD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406
Practice Address - Country:US
Practice Address - Phone:912-667-6443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty