Healthcare Provider Details

I. General information

NPI: 1821901695
Provider Name (Legal Business Name): THRIVE: HOPE FOR HEALING OCCUPATIONAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 BOWMAN ST
MATTESON IL
60443-3015
US

IV. Provider business mailing address

131 BOWMAN ST
MATTESON IL
60443-3015
US

V. Phone/Fax

Practice location:
  • Phone: 708-600-7492
  • Fax:
Mailing address:
  • Phone: 708-600-7492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. SALONIA ANDERSON
Title or Position: FOUNDER & CLINICAL DIRECTOR
Credential: OTD, OTR/L
Phone: 708-600-7492