Individual
MR. JAYME L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1500 3RD AVE, LONGVIEW, WA 98632-3229
(360) 423-8800
(360) 636-3421
Mailing address
803 N 23RD AVE, KELSO, WA 98626-5304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
)C00000555
WA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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