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Individual

PROF. JOHN D THOMAS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
161 CHRISTIAN DR, RAYVILLE, LA 71269-3658
(318) 728-3665
(318) 728-3625
Mailing address
161 CHRISTIAN DR, RAYVILLE, LA 71269-3658
(318) 728-3665
(318) 728-3625

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z11123
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z11123
OT LICENSE
LA
Enumeration date
08/23/2006
Last updated
03/31/2025
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