| Doctor Name: | DR. JOHN ROBERT SALLADE |
| NPI Number: | 1588663181 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PA005092 |
| Business Practice Address: | 36 Lawndale Rd. Fleetwood, PA - 19522 |
| Business Phone Number: | 6199447626 |
| Business Fax Number: | 6109448079 |
| Mailing Address: | 36 Lawndale Rd, WYOMISSING |
| State: | PA |
| Postal Code: | 196101974 |
| Phone Number: | 6103722859 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 07/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | PA005092 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |