Provider Demographics
NPI:1639470933
Name:SALMON, LINDA J (MS,OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:J
Last Name:SALMON
Suffix:
Gender:F
Credentials:MS,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 DEVON RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2640
Mailing Address - Country:US
Mailing Address - Phone:732-906-1646
Mailing Address - Fax:732-906-7876
Practice Address - Street 1:13 DEVON RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2640
Practice Address - Country:US
Practice Address - Phone:732-906-1646
Practice Address - Fax:732-906-7876
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002242-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics