Provider Demographics
NPI:1245684950
Name:SALTZBURG, ETA
Entity type:Individual
Prefix:
First Name:ETA
Middle Name:
Last Name:SALTZBURG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 REGENCY CIR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-5045
Mailing Address - Country:US
Mailing Address - Phone:917-224-3189
Mailing Address - Fax:
Practice Address - Street 1:8 REGENCY CIR
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-5045
Practice Address - Country:US
Practice Address - Phone:917-224-3189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-19
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No252Y00000XAgenciesEarly Intervention Provider Agency