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Individual

MR. ADDISON JAMES THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
65 W CLOPTON ST, RICHMOND, VA 23225-3957
(804) 231-1043
Mailing address
1503 THISTLE RD APT 201, RICHMOND, VA 23238-4520
(804) 896-3790

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002529
VA

Other

Enumeration date
07/20/2021
Last updated
07/20/2021
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