Individual
MICHAEL SALVADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3499 US HIGHWAY 9, NORTH JUNIPER PLAZA STE 3D, FREEHOLD, NJ 07728-3258
(732) 294-0024
Mailing address
405 GRIER AVE, ELIZABETH, NJ 07202-3305
(908) 289-6451
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QB00226400
LICENSE#
NJ
Enumeration date
11/07/2006
Last updated
07/08/2007
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