Individual
MISS KASSONDRA DAWN THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
442 W KORTSEN RD STE 202, CASA GRANDE, AZ 85122-5923
(520) 208-5319
Mailing address
164 W KEY WEST DR, CASA GRANDE, AZ 85122-5257
(520) 208-5319
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
046868
AZ
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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