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Individual

MISS BRIANNE LAUREN THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1553 LIVE OAK DR, TALLAHASSEE, FL 32301-4907
(352) 362-1749
Mailing address
1553 LIVE OAK DR, TALLAHASSEE, FL 32301-4907
(352) 362-1749

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14196
FL

Other

Enumeration date
01/09/2015
Last updated
01/10/2015
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