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Individual

ANTONIA SALAMANCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114969
TX
2355S0801X
Speech-Language Assistant
34547
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3371114-03
TX
Enumeration date
09/03/2008
Last updated
02/01/2024
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