Individual
SHAWN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1532 CALUMET AVE, DYER, IN 46311-1588
(219) 515-4700
Mailing address
17621 RYAN LN, ORLAND PARK, IL 60467-9349
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013429
IL
Other
Enumeration date
03/16/2020
Last updated
03/19/2020
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