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NPI Code Detail

MEDICARE: MARIANNA THOMAS

MEDICARE: MARIANNA 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 Therapist007813GA

General Provider Information

NPI Number : 1588267033
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANNA THOMAS
Provider Business Mailing Address
First Line : 3253 BOROGROVE WAY
Second Line :
City : DECATUR
State : GA
Zip : 30032-5980
Country : US
Telephone Number : 770-853-9108
Fax Number :
Provider Business Practice Location Address
First Line : 5660 LAKE FORREST DR
Second Line :
City : ATLANTA
State : GA
Zip : 30342-4635
Country : US
Telephone Number : 404-500-9185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2020
Last Update Date : 04/23/2026

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Directions to “ MARIANNA THOMAS ” Practice Location

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