Individual
MS. BROOKE ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
627 MIDDLETON RD STE 100, WINONA, MS 38967-2000
(662) 283-1260
Mailing address
160 NUTMEG LANE, CANTON, MS 39046
(228) 216-5998
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3797
MS
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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