IndividualActive
Derek Thomas
NPI 1053642678 · Occupational Therapy Assistant · Monroe, LA
Provider details
- NPI number
- 1053642678
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- Z20245 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6700 Highway 165 N
Monroe, LA 71203-8753
Phone: (318) 625-4709
Approximate (ZIP-level) locationGet directions
Mailing address
4109 Highway 98 W
Summit, MS 39666-9132
Registry dates
- Enumerated
- 2010-01-21
- Last updated
- 2010-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.