Individual
RUTH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5619 CRAINDALE DR, ORLANDO, FL 32819-3914
(407) 285-7907
Mailing address
1705 COMPSON PL, LAKELAND, FL 33805-2527
(863) 808-6112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10216
FL
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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