Individual
TASHA MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
719 UNION ST, APT R-2, FORT WAYNE, IN 46802-5979
(260) 927-7995
Mailing address
719 UNION ST, APT R-2, FORT WAYNE, IN 46802-5979
(260) 927-7995
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001952A
IN
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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