Provider Demographics
NPI:1487845749
Name:THOMAS, ERIN NELSON (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:NELSON
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:457 AUTUMN PARK TRCE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-7421
Mailing Address - Country:US
Mailing Address - Phone:678-524-3451
Mailing Address - Fax:770-921-7380
Practice Address - Street 1:457 AUTUMN PARK TRCE
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-7421
Practice Address - Country:US
Practice Address - Phone:678-524-3451
Practice Address - Fax:770-921-7380
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT003961174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist