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Individual
SALONIA M ANDERSON
Active
Individual
SALONIA M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004058
IL
225X00000X
Occupational Therapist
Primary
056.017069
IL
Other
Enumeration date
05/29/2020
Last updated
09/01/2026
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