Individual
MICHAEL SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2093 E WILLOW WICK RD, GILBERT, AZ 85296-2747
(480) 205-6917
(480) 361-4420
Mailing address
5210 E HAMPTON AVE APT 3136, MESA, AZ 85206-3473
(480) 251-8761
(480) 361-4420
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3774
AZ
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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