Provider Demographics
NPI:1801473459
Name:SALMONS, CASSONDRA LYNN (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:CASSONDRA
Middle Name:LYNN
Last Name:SALMONS
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 N NELSON ST APT 1302
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1736
Mailing Address - Country:US
Mailing Address - Phone:816-560-7519
Mailing Address - Fax:
Practice Address - Street 1:4827 RUGBY AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3034
Practice Address - Country:US
Practice Address - Phone:301-657-1130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-28
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119-008888225X00000X
DCOT010001820225X00000X
MD09227225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist