Individual
JEROME ESTRADA SALAMAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1300 E SOUTH ST, GLOBE, AZ 85501-1436
(928) 425-3118
Mailing address
8526 W MYRTLE AVE, GLENDALE, AZ 85305-6706
(443) 808-5511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25638
MD
225100000X
Physical Therapist
Primary
LPT-013328
AZ
Other
Enumeration date
08/20/2015
Last updated
09/01/2020
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