Healthcare Provider Details

I. General information

NPI: 1295959831
Provider Name (Legal Business Name): MARIA AGNES I SALGADO PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1244 FT WSHNGTN AVE STE M1
FORT WASHINGTON PA
19034-1743
US

IV. Provider business mailing address

9841 WASHINGTONIAN BLVD STE 200-1143
GAITHERSBURG MD
20878-5389
US

V. Phone/Fax

Practice location:
  • Phone: 215-540-5892
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT009912L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number18735
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: