Individual
MRS. MARLENA ELIZABETH SALAZAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
N546 SCHROETER DR, RANDOM LAKE, WI 53075-1272
(920) 207-3550
(920) 994-8466
Mailing address
N546 SCHROETER DR, RANDOM LAKE, WI 53075-1272
(920) 207-3550
(920) 994-8466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5878-024
WI
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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