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Individual

FAUSTO MAURICE SALAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8102 CARROLL AVE, TAKOMA PARK, MD 20912-7348
(301) 445-8246
Mailing address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3690

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT870602
DC

Other

Enumeration date
11/28/2006
Last updated
07/08/2007
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