MEDICARE: HENRY A SALDANA DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	LPT-012686	AZ

General Provider Information

NPI Number	:	1508308347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY A SALDANA DPT

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:	630-575-6200
Fax Number	:	630-575-7450

Provider Business Practice Location Address
First Line	:	425 N STAPLEY DR STE 105
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-7281
Country	:	US
Telephone Number	:	480-729-8317
Fax Number	:	480-542-6462

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2016
Last Update Date	:	04/14/2021

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Directions to “ HENRY A SALDANA DPT” Practice Location

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