Provider Demographics
NPI:1689814220
Name:SALOB-ABIOG, SUSAN DIALOGO (PT)
Entity type:Individual
Prefix:MISS
First Name:SUSAN
Middle Name:DIALOGO
Last Name:SALOB-ABIOG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:685 CITADEL DR E STE 669
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5453
Mailing Address - Country:US
Mailing Address - Phone:719-597-6241
Mailing Address - Fax:719-698-9944
Practice Address - Street 1:685 CITADEL DR E STE 669
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5453
Practice Address - Country:US
Practice Address - Phone:719-597-6241
Practice Address - Fax:719-698-9944
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL0013631225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist