Individual
MR. JEFFERY RYAN SALLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT,OCS, SCS
Contact information
Practice address
3 COLEMAN CT, SOUTHAMPTON, NJ 08088-3585
(508) 259-5481
Mailing address
3 COLEMAN CT, SOUTHAMPTON, NJ 08088-3585
(508) 259-5481
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
40QA01160800
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01160800
NJ
Other
Enumeration date
04/19/2006
Last updated
10/03/2011
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