Individual
MR. RAFAEL EDUARDO SALAZAR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Mailing address
2320 NEAL ST, AUGUSTA, GA 30906-3082
(706) 829-6706
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005570
GA
Other
Enumeration date
08/09/2013
Last updated
10/12/2020
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