Jonathan Tyler Thames, COTA/L
NPI #1619598349 in Marks, Mississippi
Provider Information
- NPI Number
- 1619598349
- Entity Type
- Individual
- Name
- Jonathan Tyler Thames, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- May 5, 2020
- Last Updated
- May 5, 2020
Practice Location
- Address
- 350 GETWELL ST
- City
- Marks
- State
- Mississippi
- ZIP Code
- 38646-9785
- Phone
- (662) 326-3690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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