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Contact Information

JESSE SALAZAR, PTA
315 W 3RD PL
ELOY, AZ85131-2312
 Phone: 520-582-5396
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Rehabilitation Medicine

2081P0010X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for JESSE SALAZAR · (Male)

NPI Number 1831679984
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 08/17/2018
Last updated 08/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 11854A
  • AZ Medicaid 11854A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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