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Contact Information

MIRANDA ANDERSON, COTA/L
2600 COMPASS RD
GLENVIEW, IL60026-8001
 Phone: 502-533-2998
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for MIRANDA ANDERSON · (Female)

NPI # 1912625492
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 08/19/2022
Last updated 08/19/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # OTA.0001587
  • KY License # 266085
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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