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Individual
ALICIA TREESH SALLA
Active
Individual
ALICIA TREESH SALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31004946A
IN
225X00000X
Occupational Therapist
Primary
3891
SC
Other
Enumeration date
06/25/2012
Last updated
03/17/2018
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