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1891751889
THOMAS MASASHI IKEDA
WACO, TX
NPI
1891751889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 111726)
Enumeration Date
2006-04-26
Last Update Date
2007-07-08
Business Address
Mr. THOMAS MASASHI IKEDA OTR L
1200 RICHLAND DR SUITE G
WACO, TX 76710-8008
Phone number: 254-772-0118
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Mailing Address
Mr. THOMAS MASASHI IKEDA OTR L
1200 RICHLAND DR SUITE G
WACO, TX 76710-8008
Phone number: 254-772-0118
Copy
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