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Contact Information

ERIN ANDERSON, COTA
2595 S WOLF CREEK RD
CARBONDALE, IL62902-0572
 Phone: 618-889-9244
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for ERIN ANDERSON · (Female)

NPI Number 1114482734
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 02/07/2019
Last updated 02/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 057.0003265
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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