Individual
ERIK TREVOR THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
12366 CORPORAL CIR, PORT CHARLOTTE, FL 33953-2259
(941) 661-1586
Mailing address
12366 CORPORAL CIR, PORT CHARLOTTE, FL 33953-2259
(941) 661-1586
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7320
FL
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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