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Jaclyn Michelle Salle

Physical Therapy Assistant in Camarillo, CA. Individual provider (NPI-1).

NPI number1164859674
StatusActive
Last updated in NPPESSep 30, 2013

Details

NPI
1164859674
Entity type
Individual (NPI-1)
Name
Jaclyn Michelle Salle
Sex
Female
Sole proprietor
No
Enumeration date
Sep 28, 2013
Last updated
Sep 30, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant10207CAYes

Practice location

231 Camarillo Ranch Rd
Camarillo, CA 93012-5082

Phone 805-484-2026

Mailing address

231 Camarillo Ranch Rd
Camarillo, CA 93012-5082

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