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Individual

MELINDA LOU THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1504 OAK ST, JOURDANTON, TX 78026-1617
(830) 769-3531
(830) 769-4116
Mailing address
751 COUNTY ROAD 120, FLORESVILLE, TX 78114-6550
(830) 387-7895
(830) 769-4116

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
205025
TX
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
205025
TX

Other

Enumeration date
08/14/2018
Last updated
08/14/2018
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