Individual
JAMIA LEE THURSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10001 FIANA WAY, FORT SMITH, AR 72913
(941) 468-8116
Mailing address
8207 BESSEMER AVE, NORTH PORT, FL 34287-3717
(941) 468-8116
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 289
FL
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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