Individual
MRS. LORI L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1505 BUTTS AVE, TOMAH, WI 54660-2405
(608) 372-3241
Mailing address
214 OLIVET ST, LA CROSSE, WI 54603-1316
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1689-027
WI
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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