Individual
MR. COLLEEN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
916 PACIFIC AVE, EVERETT, WA 98201-4147
(425) 258-7123
Mailing address
3702 104TH PL SE, EVERETT, WA 98208-4620
(425) 337-5908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00000414
WA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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