Individual
SALIXTO AGUILAR AGUDO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
601 SHEFFIELD AVE, DYER, IN 46311-1167
(219) 322-2273
Mailing address
236 EDINBURGH ST, VALPARAISO, IN 46385-9306
(630) 470-2561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013327A
IN
225100000X
Physical Therapist
070.015817
IL
2251G0304X
Geriatric Physical Therapist
05013327A
IN
Other
Enumeration date
07/29/2011
Last updated
11/07/2021
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