| NPI | 1629221973 |
|---|---|
| Former Name | AMY ELIZABETH THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119007103) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 002369) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2016-11-11 |