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1215493085
MICAH DORJON THOMAS
FORT SAM HOUSTON, TX
NPI
1215493085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 120016)
Enumeration Date
2019-02-15
Last Update Date
2023-02-28
Business Address
Mr. MICAH DORJON THOMAS OTR/L
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-4141
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Mailing Address
Mr. MICAH DORJON THOMAS OTR/L
3551 ROGER BROOKE DR
SAN ANTONIO, TX 78234-4504
Phone number: 210-916-4141
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