Individual
JOELLIA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
101 PERSHING ST., FORT DODGE, KS 67843
(620) 227-2121
Mailing address
2503B BELL AVE, DODGE CITY, KS 67801-2405
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1801292
KS
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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