Individual
MR. MARK WARREN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2792 DONNELLY DR, LANTANA, FL 33462-6431
(561) 602-3867
(561) 963-3441
Mailing address
5186 ELPINE WAY, PALM BEACH GARDENS, FL 33418-7848
(561) 602-3867
(561) 963-3441
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA8903
FL
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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