Individual
MRS. MARY CELESTE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
3913 HILLCROSS DR, LOUISVILLE, KY 40229-2685
(502) 387-8819
Mailing address
3913 HILLCROSS DR, LOUISVILLE, KY 40229-2685
(502) 387-8819
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R3149
KY
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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