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Individual
KYLE SALCEDO
Active
Individual
KYLE SALCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
303413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303413
PTBC
CA
Enumeration date
02/13/2023
Last updated
02/13/2023
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