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Individual
SALVATORE R LUCIANO JR.
Active
Individual
SALVATORE R LUCIANO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00825800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316362494
CHAMPION REHABILITATION LLC GROUP NPI
—
Enumeration date
07/13/2006
Last updated
07/27/2014
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