Individual
JERRY KEITH THOMAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
201 S 14TH ST, ACUTE REHAB CENTER, HERRIN, IL 62948-3631
(618) 942-2171
(618) 351-4927
Mailing address
PO BOX 86, HERRIN, IL 62948-0086
(618) 727-2211
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
IL
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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