Thomas, Tabatha

Thomas, Tabatha is an individual health care provider with primary practice located at 250 S New Florissant Rd , Florissant MO 63031-6716. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Thomas, Tabatha can be contacted via phone (314) 838-2211.

Contact Information

Primary practice address
250 S New Florissant Rd Florissant MO 63031-6716
Phone: (314) 838-2211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2012026278 Missouri

Profile Details

NPI number 1568715811
LBN Legal business name Thomas, Tabatha
Credentials OT LIMITED PERMIT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2012
Last updated Oct 24th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568715811 NPPES
Missouri Other 2012026278 STATE OF MISSOURI, MISSOURI BOARD OF HEALING ARTS

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