Provider Demographics
NPI:1871610014
Name:SALDAJENO, AILEEN (PT)
Entity type:Individual
Prefix:
First Name:AILEEN
Middle Name:
Last Name:SALDAJENO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:AILEEN
Other - Middle Name:
Other - Last Name:MALILANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:593 GROVE ST APT 5
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3881
Mailing Address - Country:US
Mailing Address - Phone:973-272-7965
Mailing Address - Fax:
Practice Address - Street 1:703 MAIN ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2621
Practice Address - Country:US
Practice Address - Phone:973-754-3133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01052100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist