Individual
ELLEN DANITA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
625 OVERLOOK DR, WINTER HAVEN, FL 33884-1626
(863) 318-1315
(863) 326-9432
Mailing address
228 NORWALK CIR, EAGLE LAKE, FL 33839-4109
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9629
FL
Other
Enumeration date
03/14/2007
Last updated
09/07/2023
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