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NPI Code Detail

MEDICARE: AMANDA SUZANNE THOMAS CTRS

MEDICARE: AMANDA SUZANNE THOMAS CTRS
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
1225800000XRecreation Therapist

General Provider Information

NPI Number : 1063616878
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA SUZANNE THOMAS CTRS
Provider Business Mailing Address
First Line : 1297 COLUMBUS AVE
Second Line :
City : BATESVILLE
State : IN
Zip : 47006-9581
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 476 RIDDLE RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2411
Country : US
Telephone Number : 513-281-8001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 07/08/2007

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