Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 056-006294 | IL |
N | 225XH1200X | Occupational Therapist - Hand | 2012016876 | MO |
Y | 225XH1200X | Occupational Therapist - Hand | 60289890 | WA |
NPI | 1245549864 |
---|---|
Provider Name | Erin Michelle Thomas |
First Address | Sedalia, MO 65301-1780 |
Second Address | Sedalia, MO 65301-1780 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2010 |
Last Update Date | 08/05/2013 |