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Individual

MRS. EDNA MARIE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
9904 WINYARD PL, OWENSVILLE, IN 47665-8978
(812) 664-6571

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001276A
IN

Other

Enumeration date
08/10/2012
Last updated
02/23/2016
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