Provider Demographics
NPI:1386941201
Name:THOMAS, ANN PIERSON (OTL)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:PIERSON
Last Name:THOMAS
Suffix:
Gender:F
Credentials:OTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 LANGLEY CT
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-8358
Mailing Address - Country:US
Mailing Address - Phone:850-207-1599
Mailing Address - Fax:
Practice Address - Street 1:5700 LANGLEY CT
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8358
Practice Address - Country:US
Practice Address - Phone:850-207-1599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-13
Last Update Date:2011-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT292225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist