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General NPI Number Information
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NPI Number | 1295239663
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Entity Type | Individual
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Provider Name | ALEXANDRA M SALAS MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 9325 MIDLOTHIAN TPKE STE A
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-4943
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Country | US
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Telephone | 757-490-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 4663 WISTAR CREEK DR UNIT A
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City | HENRICO
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State | VA
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Zip | 23228-3504
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Country | US
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Telephone | 614-546-7668
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT19998
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT010083
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119009267
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License Number State | VA
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