Individual
CARLY THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13150 FM 529 RD, SUITE 114, HOUSTON, TX 77041-2570
(713) 896-1815
(713) 896-1853
Mailing address
1313 CAMPBELL RD, B-1, HOUSTON, TX 77055-6458
(713) 468-0300
(713) 468-0336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111704
TX
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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