Individual
VICTORIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 RIVERLEIGH AVE, UNIT C 25, RIVERHEAD, NY 11901-3600
(631) 591-6430
Mailing address
525 RIVERLEIGH AVE, UNIT C 25, RIVERHEAD, NY 11901-3600
(631) 591-6430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0009061
NY
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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