Individual
MR. THOMAS PATRICK LOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA 11142
Contact information
Practice address
380 WICKHAM LAKES DR, MELBOURNE, FL 32940-2209
(321) 614-4235
Mailing address
380 WICKHAM LAKES DR, MELBOURNE, FL 32940-2209
(321) 614-4235
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11142
FL
Other
Enumeration date
02/16/2013
Last updated
02/16/2013
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