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NPI Code Detail

MEDICARE: REBECCA THOMAS

MEDICARE: REBECCA THOMAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist11943CA

General Provider Information

NPI Number : 1255729968
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA THOMAS
Provider Business Mailing Address
First Line : 1124 OXFORD ST
Second Line :
City : BERKELEY
State : CA
Zip : 94707-2624
Country : US
Telephone Number : 973-769-1503
Fax Number :
Provider Business Practice Location Address
First Line : 3030 WEBSTER ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-3411
Country : US
Telephone Number : 510-250-8014
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2015
Last Update Date : 01/05/2015

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Directions to “ REBECCA THOMAS ” Practice Location

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