Provider Demographics
NPI:1700475209
Name:SALUD, ALANN MANALAC (PT)
Entity Type:Individual
Prefix:
First Name:ALANN
Middle Name:MANALAC
Last Name:SALUD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1644 CROWFOOT CIR N
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2383
Mailing Address - Country:US
Mailing Address - Phone:847-208-3479
Mailing Address - Fax:
Practice Address - Street 1:1644 CROWFOOT CIR N
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2383
Practice Address - Country:US
Practice Address - Phone:847-208-3479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070017332261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy