Individual
MARISA SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
222 LADEAN CT STE E, SIMPSONVILLE, SC 29680-7504
(864) 399-6423
Mailing address
222 LADEAN CT STE E, SIMPSONVILLE, SC 29680-7504
(864) 399-6423
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5352
SC
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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