Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports |
NPI | 1487016754 |
---|---|
Provider Name | Sharon Saltsberg |
First Address | Brookfield, CT 06804-2427 |
Second Address | Brookfield, CT 06804-2427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2016 |
Last Update Date | 17/05/2016 |