John Robert Sallade in Fleetwood - Sports
John Robert Sallade - NPI 1588663181
John Robert Sallade is a Sports in Fleetwood, Pennsylvania. John Robert Sallade practices all healthcare services and medical treatments related to Sports. The NPI Number for John Robert Sallade is 1588663181. The last update date is 2010-07-27.
John Robert Sallade's current location address is 36 Lawndale Rd., Fleetwood, Pennsylvania. You can contact this provider via phone number 6199447626 and fax number 6109448079. The mailing address for John Robert Sallade is 36 Lawndale Rd., Fleetwood, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Robert Sallade |
|---|---|
| Address | 36 Lawndale Rd., Fleetwood, Pennsylvania |
| Phone Number | 6199447626 |
| Fax Number | 6109448079 |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1588663181 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2010-07-27 |
Provider Mailing Address Detail
| Address | 36 Lawndale Rd. |
|---|---|
| City | Fleetwood |
| State | Pennsylvania (PA) |
| Post Code | 195220 |
| Phone Number | 6199447626 |
| Fax Number | 6109448079 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PA005092 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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What is the unique 10-digit identification code assigned to John Robert Sallade by the Centers for Medicare & Medicaid Services?
The John Robert Sallade has been issued the NPI (National Provider Identifier) 1588663181, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John Robert Sallade's physical address?
The John Robert Sallade is physically located at 36 Lawndale Rd., in the city of Fleetwood, PA, with the postal code 195220.
What is John Robert Sallade's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Robert Sallade is Sports, and the taxonomy code that categorizes this field of expertise is 2251S0007X.
On what date was the 1588663181 assigned to John Robert Sallade?
The John Robert Sallade was issued its 1588663181 on 2005-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to John Robert Sallade most recently updated or revised?
The information pertaining to John Robert Sallade, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-27.