Provider Demographics
NPI:1467704718
Name:SALAFIA, ANTHONY EDWARD (PT)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:EDWARD
Last Name:SALAFIA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:ANTHONY
Other - Middle Name:EDWARD
Other - Last Name:SALAFIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:701 W CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-6015
Mailing Address - Country:US
Mailing Address - Phone:559-713-6806
Mailing Address - Fax:559-713-6809
Practice Address - Street 1:606 N MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-9206
Practice Address - Country:US
Practice Address - Phone:559-321-8162
Practice Address - Fax:559-472-3559
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20083225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist