Individual
SANDRA J THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12153 BRANDYWINE DR, BRIGHTON, MI 48114-9088
(810) 487-1337
(810) 487-1338
Mailing address
12153 BRANDYWINE DR, BRIGHTON, MI 48114-9088
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MI
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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