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Contact Information

SALONIA M ANDERSON, COTA/L
131 BOWMAN ST
MATTESON, IL60443-3015
 Phone: 708-600-7492
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for SALONIA M ANDERSON · (Female)

NPI Number 1144844705
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 05/29/2020
Last updated 05/29/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 057.004058
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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