Provider Demographics
NPI:1992017552
Name:SALAZAR, JULIA ANN (DPT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:ANN
Other - Last Name:KELLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:4990 ROCKLIN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-4315
Mailing Address - Country:US
Mailing Address - Phone:916-320-8406
Mailing Address - Fax:916-632-2279
Practice Address - Street 1:4990 ROCKLIN RD
Practice Address - Street 2:SUITE B
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-4315
Practice Address - Country:US
Practice Address - Phone:916-320-8406
Practice Address - Fax:916-632-2279
Is Sole Proprietor?:No
Enumeration Date:2010-07-11
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38550225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist