| NPI | 1386717544 |
|---|---|
| Former Name | SHANNON LEIGH THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MD A01493) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP005813) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |