MR. Thomas Masashi Ikeda, OTR L

NPI #1891751889 in Waco, Texas

Provider Information

NPI Number: 1891751889
Entity Type: Individual
Name: MR. Thomas Masashi Ikeda, OTR L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR L
Enumeration Date: Apr 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1200 RICHLAND DR
Address 2: SUITE G
City: Waco
State: Texas
ZIP Code: 76710-8008
Phone: (254) 772-0118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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