Humberto Grimaldo-Salazar, PTA

NPI #1265700256 in Madill, Oklahoma

Provider Information

NPI Number: 1265700256
Entity Type: Individual
Name: Humberto Grimaldo-Salazar, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 6, 2011
Last Updated: Dec 6, 2011

Practice Location

Address: 105 N 5TH AVE
City: Madill
State: Oklahoma
ZIP Code: 73446-1200
Phone: (580) 795-3301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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