Most Relevant Information
Provider Data
| NPI Number: | 1003036443 |
| Provider Name: | LAURA E SALEM |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 653 |
Most Important Dates
| Enumeration Date: | 04/26/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
200 CENTER STREET
MORIARTY
NM
870350000
Practice Location Phone/Fax
| Phone: | 5058325817 |
| Fax: | 5058325918 |
Provider Mailing Location
PO BOX 2000
MORIARTY
NM
870352000
Provider Mailing Phone/Fax
| Phone: | 5058325817 |
| Fax: | 5058325918 |