Healthcare Provider Details

I. General information

NPI: 1487139069
Provider Name (Legal Business Name): ERIN MARIE SALLADAY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN MARIE VAN KIRK

II. Dates (important events)

Enumeration Date: 09/28/2018
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2571 GUTHRIE AVE
DES MOINES IA
50317-3080
US

IV. Provider business mailing address

19 CENTRAL AVE
BUFFALO MN
55313-1569
US

V. Phone/Fax

Practice location:
  • Phone: 515-299-1729
  • Fax: 515-299-1599
Mailing address:
  • Phone: 952-955-2242
  • Fax: 952-955-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number092788
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: