Individual
ERIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2595 S WOLF CREEK RD, CARBONDALE, IL 62902-0572
(618) 889-9244
Mailing address
2595 S WOLF CREEK RD, CARBONDALE, IL 62902-0572
(618) 889-9244
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.0003265
IL
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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