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Individual

SALIXTO AGUILAR AGUDO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

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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