Individual
MS. STEFANIE LYNNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7950 LAKE UNDERHILL RD, ORLANDO, FL 32822-8229
(407) 658-2046
Mailing address
3016 SAVANNAH WAY APT 108, MELBOURNE, FL 32935-3639
(321) 794-7833
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12642
FL
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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