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Individual

MATTHEW SALAMONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2301 SOUTH M291 HWY, INDEPENDENCE, MO 64057
(816) 373-9328
Mailing address
2417 SW WINTERWOOD CT, LEES SUMMIT, MO 64081-4201
(816) 213-4179

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111985
LICENSE#
MO
Enumeration date
03/23/2007
Last updated
12/20/2013
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