Individual
DEVIN DANIELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
473 SUN LAKE CIR, APT 205, LAKE MARY, FL 32746
(832) 209-6712
Mailing address
473 SUN LAKE CIR, APT 205, LAKE MARY, FL 32746
(832) 209-6712
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074592700
—
FL
Enumeration date
03/09/2015
Last updated
06/24/2015
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