Provider Demographics
NPI:1578245346
Name:SALUGAO, MARK ANGELO TONGOL (PT)
Entity Type:Individual
Prefix:MR
First Name:MARK ANGELO
Middle Name:TONGOL
Last Name:SALUGAO
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:1218 SELIEF LN APT 9
Mailing Address - Street 2:
Mailing Address - City:KODIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99615-6269
Mailing Address - Country:US
Mailing Address - Phone:907-512-9914
Mailing Address - Fax:
Practice Address - Street 1:2012 S JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3151
Practice Address - Country:US
Practice Address - Phone:702-360-1137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist