Individual
PRECIOUS LATONYA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3101 GINGER DR, TALLAHASSEE, FL 32308-4437
(850) 877-2177
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 347-6440
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001460
GA
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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