Individual
KELLIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
70 DEBORAH LN, SWANSEA, MA 02777-3905
(508) 982-4954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9040
MA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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