Individual
STEPHANIE NICOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
635 S MAIN ST, LEITCHFIELD, KY 42754-1056
(270) 287-0656
Mailing address
335 CHASE LAKE RD, RINEYVILLE, KY 40162-9669
(270) 307-4847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
270428
KY
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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