Individual
MR. HEZEKIAH THOMAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 E CHELSEA ST, TAMPA, FL 33610-6114
(813) 238-6406
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14147
FL
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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