Individual
CAROLLYN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 501-8352
(818) 501-8325
Mailing address
19019 VENTURA BLVD, TARZANA, CA 91356-3253
(818) 501-8352
(818) 501-8325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15558
CA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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