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Individual

THOMAS LOTHAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
2320 LAKE SHORE DR, WACO, TX 76708-1276
(877) 293-6287
(888) 215-2994
Mailing address
6060 N CENTRAL EXPY, SUITE #460, DALLAS, TX 75206-5209
(877) 293-6287
(888) 215-2994

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001624A
IN

Other

Enumeration date
05/25/2011
Last updated
05/25/2011
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