Individual
AUDRIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4613 BEE CAVES RD STE 202, WEST LAKE HILLS, TX 78746-5207
(512) 306-1707
(512) 306-7380
Mailing address
4613 BEE CAVES RD STE 202, WEST LAKE HILLS, TX 78746-5207
(512) 306-1707
(512) 306-7380
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
122384
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122384
TEXAS DEPT OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY
TX
Enumeration date
03/16/2022
Last updated
03/16/2022
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