Individual
ADRIANE CLARK SALAZAR BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5741 VAN HORN ST FL 3, ELMHURST, NY 11373-5090
(347) 839-9275
Mailing address
5741 VAN HORN ST FL 3, ELMHURST, NY 11373-5090
(347) 839-9275
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012564
NY
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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