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ALICIA THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 698-5259
Mailing address
PO BOX 504469, ST. LOUIS, MO 63150

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004253
IL

Other

Enumeration date
07/28/2015
Last updated
07/28/2015
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