Provider Demographics
NPI:1073791596
Name:THOMAS, SUNITHA
Entity Type:Individual
Prefix:MS
First Name:SUNITHA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2736 ABBEY
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-2875
Mailing Address - Country:US
Mailing Address - Phone:956-371-8269
Mailing Address - Fax:866-583-9230
Practice Address - Street 1:2701 E PRICE RD STE I
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2472
Practice Address - Country:US
Practice Address - Phone:956-371-1246
Practice Address - Fax:866-583-9230
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112112225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist