Individual
MS. KATHLEEN BLACKMAN SALAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
582 EAST HARDING AVENUE, STOCKTON, CA 95204-6110
(209) 279-5617
(209) 718-7190
Mailing address
1844 ALLSTON WAY, STOCKTON, CA 95204-5202
(209) 639-0997
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT5706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT5706
CALIFORNIA BOARD OF PHYSICAL THERAPY
CA
Enumeration date
12/18/2018
Last updated
12/18/2018
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