Individual
JENNA ELIZABETH SALOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
154 AMENDMENT AVE, ROCK HILL, SC 29732-3155
(803) 577-3701
Mailing address
341V HANCOCK UNION LN, ROCK HILL, SC 29732-3195
(843) 737-1058
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5069
SC
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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