NPI 1053642678

Derek Thomas

Practitioner Occupational Therapy Assistant Monroe, LA

Practice location

Address: 6700 Highway 165 N, Monroe, LA 71203-8753
Phone: (318) 625-4709
Mailing address: 4109 Highway 98 W, Summit, MS 39666-9132

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence Z20245 (LA)

Other Occupational Therapy Assistant providers in Louisiana →

Registry record

NPI: 1053642678
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jan 2010
Record last updated: 21 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.