Individual
MARILYNNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
3198 E 83RD PL, MERRILLVILLE, IN 46410-6418
(219) 945-0100
(219) 940-3369
Mailing address
3198 E 83RD PL, MERRILLVILLE, IN 46410-6418
(219) 945-0100
(219) 940-3369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000137A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200635030
—
IN
Enumeration date
02/22/2008
Last updated
11/12/2014
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