Individual
CRISMAE OLAY SALAMAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8526 W MYRTLE AVE, GLENDALE, AZ 85305-6706
(443) 808-3878
Mailing address
8526 W MYRTLE AVE, GLENDALE, AZ 85305-6706
(443) 808-3878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
07075
MD
225X00000X
Occupational Therapist
Primary
OTH-006928
AZ
Other
Enumeration date
06/03/2014
Last updated
09/03/2020
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