Individual ProviderJeanette Augustine SalataPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7650 Sussex Ct, Canton, MI 48187(734) 737-9162PECOS EnrollmentBased on the most recent information from CMS, provider Jeanette Augustine Salata does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1093837759Provider TypeIndividualFull NameSalata, Jeanette AugustineCredentialL.P.T.GenderFemaleSole ProprietorNoEnumeration Date4/4/2007Last Updated7/31/2018Contact InformationPractice LocationPractice Address7650 Sussex Ct, Canton, MI 48187Phone(734) 737-9162FaxUnlisted FaxMailing LocationMailing Address7650 Sussex Ct, Canton, MI 48187-2234Phone(734) 737-9162FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseJ783638Michigan