Salonda Thomas

Individual provider Active NPI Occupational Therapy Assistant · Jackson, LA

NPI 1962634477 · NPPES record last updated Aug 17, 2009

Key facts

NPI
1962634477
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
4739 Highway 10
Jackson, LA 70748-3509
Phone
(225) 634-1640
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

4739 Highway 10
Jackson, LA 70748-3509

Mailing address

2006 Ellis St
Winnsboro, LA 71295-3116

Other providers in Jackson, LA

All providers in Jackson, LA · Occupational Therapy Assistant in Louisiana

Sources for this page

Verify at the official NPI Registry.