Individual
JEANETTE AUGUSTINE SALATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.
Contact information
Practice address
7650 SUSSEX CT, CANTON, MI 48187
(734) 737-9162
Mailing address
7650 SUSSEX CT, CANTON, MI 48187-2234
(734) 737-9162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J783638
MI
Other
Enumeration date
04/04/2007
Last updated
07/31/2018
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