MEDICARE: JULIA THOMAS MS, OTR/L

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
1	225X00000X	Occupational Therapist	2893	NH
2	225X00000X	Occupational Therapist	7325	TN

General Provider Information

NPI Number	:	1962069419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA THOMAS MS, OTR/L

Provider Business Mailing Address
First Line	:	PO BOX 269083
Second Line	:	DEPT 1128
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73126
Country	:	US
Telephone Number	:	615-540-8334
Fax Number	:	615-469-4321

Provider Business Practice Location Address
First Line	:	7135 CHARLOTTE PIKE STE 102
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-5017
Country	:	US
Telephone Number	:	615-540-8334
Fax Number	:	615-469-4321

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2019
Last Update Date	:	07/09/2024

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