Individual
CHRISTINA THOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3450 N LAKE SHORE DR APT 3506, CHICAGO, IL 60657-2864
(734) 634-0564
Mailing address
3450 N LAKE SHORE DR APT 3506, CHICAGO, IL 60657-2864
(734) 634-0564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008754
MI
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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