Individual
ANTHONY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8000 FAIRVIEW DR APT 206, TAMARAC, FL 33321-3978
(808) 989-0556
Mailing address
8000 FAIRVIEW DR APT 206, TAMARAC, FL 33321-3978
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15213
FL
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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