Individual
MR. BRANDON WILLIAM THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
3002 DOW AVE STE 114, TUSTIN, CA 92780-7247
(714) 731-4668
Mailing address
781 CALLE VALLARTA, SAN CLEMENTE, CA 92673-3001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24114
CA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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