Individual
MRS. LAURA ELAINE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
3524 WAYLAND DR, EVANSVILLE, IN 47725-8138
(812) 664-8689
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
99045900A
IN
Other
Enumeration date
10/15/2012
Last updated
07/31/2020
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