Individual
MS. SHANTINA DOLLMESHIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6352 CADBURY LN, MONTGOMERY, AL 36116-4349
(863) 651-1961
Mailing address
6352 CADBURY LN, MONTGOMERY, AL 36116-4349
(863) 651-1961
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
11615
FL
224Z00000X
Occupational Therapy Assistant
Primary
4065
AL
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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