Individual
ASHLEY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4630 17TH ST, SARASOTA, FL 34235-1843
(941) 487-5400
Mailing address
2966 MORRIS DR, BARTOW, FL 33830-9350
(863) 604-2515
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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