Individual
JENNA MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
300 FLOYD DR, SIKESTON, MO 63801-3960
(573) 472-0397
(573) 472-0409
Mailing address
2067 PEAR TREE CT APT 6, CAPE GIRARDEAU, MO 63701-2134
(270) 952-0834
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2007021071
MO
Other
Enumeration date
07/17/2007
Last updated
08/14/2007
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