Individual
RICK E SALLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 FORT JESSE RD, NORMAL, IL 61761-6286
(309) 661-6260
Mailing address
25 HARBORD DR, BLOOMINGTON, IL 61701-5574
(309) 838-6700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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