Jalyn April Salas
Occupational Therapy Assistant in Geneseo, IL. Individual provider (NPI-1).
NPI number1982256301
StatusActive
Last updated in NPPESJul 15, 2019
Details
- NPI
- 1982256301
- Entity type
- Individual (NPI-1)
- Name
- Jalyn April Salas
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2019
- Last updated
- Jul 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 057.003940 | IL | Yes |
Practice location
704 S Illinois StGeneseo, IL 61254
Phone 309-944-6424
Mailing address
4024 N Linwood AveDavenport, IA 52806
Phone 563-343-4136
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