Provider Demographics
NPI:1265625982
Name:SALAMH, PAUL A (PT-DPT)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:A
Last Name:SALAMH
Suffix:
Gender:M
Credentials:PT-DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 SPRING RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-5146
Mailing Address - Country:US
Mailing Address - Phone:919-596-2395
Mailing Address - Fax:
Practice Address - Street 1:3404 WAKE FOREST RD
Practice Address - Street 2:STE 201
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7340
Practice Address - Country:US
Practice Address - Phone:919-256-1511
Practice Address - Fax:919-256-1530
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC112492251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic