Provider Demographics
NPI:1326007758
Name:SALZER, DAVID WICK (MA, ATC, PTA)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:WICK
Last Name:SALZER
Suffix:
Gender:M
Credentials:MA, ATC, PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14140 HERMOSILLO WAY
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-3934
Mailing Address - Country:US
Mailing Address - Phone:858-679-0662
Mailing Address - Fax:858-613-4248
Practice Address - Street 1:15708 POMERADO RD
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2066
Practice Address - Country:US
Practice Address - Phone:858-613-4636
Practice Address - Fax:858-613-4248
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT4710174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist