Individual
JACQUELINE JOAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6225 BRANDON AVE STE 130, SPRINGFIELD, VA 22150-2519
(703) 569-7500
Mailing address
1345 ENTERPRISE DR, WEST CHESTER, PA 19380-5964
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119009817
VA
225X00000X
Occupational Therapist
Primary
0119009817
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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