Individual
JOHANNA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3498 GREEN VALLEY RD, RESCUE, CA 95672-9625
(530) 391-8670
Mailing address
9242 CORINTHIAN CIR, SACRAMENTO, CA 95826-2556
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTA5785
CA
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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