Individual
KELSEA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 MAGNOLIA DR, LA PLATA, MD 20646-9357
(301) 934-4001
Mailing address
1 MAGNOLIA DR, LA PLATA, MD 20646-9357
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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