Individual
JASMINE MONIQUE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
330 STEEDLY AVE, LAKE WALES, FL 33853-3757
(863) 325-5997
Mailing address
330 STEEDLY AVE, LAKE WALES, FL 33853-3757
(863) 325-5997
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
17136
FL
225X00000X
Occupational Therapist
Primary
23210
FL
Other
Enumeration date
04/04/2019
Last updated
05/23/2023
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