Provider Demographics
NPI:1821150483
Name:SALGADO, MARCIA ISABEL (PT)
Entity Type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:ISABEL
Last Name:SALGADO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 GOTTHARDT ST
Mailing Address - Street 2:APT # 1
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-3018
Mailing Address - Country:US
Mailing Address - Phone:973-578-8493
Mailing Address - Fax:
Practice Address - Street 1:210 WEST ST. GEORGES AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036
Practice Address - Country:US
Practice Address - Phone:908-587-1624
Practice Address - Fax:908-587-1628
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00908900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist