Individual
JACOB SALABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9242 HUDSON BLVD N # 400, LAKE ELMO, MN 55042-8700
(952) 835-4512
Mailing address
7825 3RD ST N STE 105, OAKDALE, MN 55128-5444
(952) 835-4512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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