Individual
LYDIA MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1150 S GREEN ST STE D, TUPELO, MS 38804-4901
(601) 815-3575
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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