Individual
ANDREA NICOLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
76 FENTON ST, LIVERMORE, CA 94550-4144
(925) 443-1800
Mailing address
433 SWALLOW CT, LIVERMORE, CA 94551-2514
(925) 989-1985
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17265
CA
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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