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Individual

KARISSA THOMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
15632 SUNQUAT DR, WINTER GARDEN, FL 34787-5078
(407) 595-8962
Mailing address
14422 SHORESIDE WAY, SUITE 110 PMB 169, WINTER GARDEN, FL 34787
(407) 595-8962

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20934

Other

Enumeration date
06/29/2020
Last updated
06/29/2020
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