Individual
STEPHANIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
672 WALNUT RDG, FENTON, MO 63026-5421
(573) 778-6202
Mailing address
672 WALNUT RDG, FENTON, MO 63026-5421
(573) 778-6202
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012016606
MO
224Z00000X
Occupational Therapy Assistant
2012016606
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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