Individual
AMY DIANE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
420 95TH ST, BROOKLYN, NY 11209-7404
(718) 680-9751
Mailing address
350 E 30TH ST APT 6B, NEW YORK, NY 10016-8391
(561) 251-1482
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016774-1
NY
225X00000X
Occupational Therapist
14002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001840800
—
FL
Enumeration date
02/17/2010
Last updated
08/15/2012
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