Individual
JONATHAN SALAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
113 BRYCE JORDAN CENTER, PENN STATE UNIVERSITY, UNIVERSITY PARK, PA 16802
(814) 863-3358
Mailing address
220 HOMAN AVE, STATE COLLEGE, PA 16801-6332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001189A
PA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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