NPI 1750766010
Alicia Thomas
Practice location
- Address
- 4735 Willow Springs Rd, La Grange, IL 60525-6130
- Phone
- (708) 698-5259
- Mailing address
- PO Box 504469, St. Louis, MO 63150
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1750766010
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jul 2015
- Record last updated
- 28 Jul 2015
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.