Provider Demographics
NPI:1609995752
Name:THOMAS, KATHLEEN CLAIR (OTR)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:CLAIR
Last Name:THOMAS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ANGELOS WAY
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3064
Mailing Address - Country:US
Mailing Address - Phone:508-477-1317
Mailing Address - Fax:
Practice Address - Street 1:FALMOUTH HOSPITAL REHABILITATION SERVICES 90 TER HEUN D
Practice Address - Street 2:90 TER HEUN DRIVE
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540
Practice Address - Country:US
Practice Address - Phone:508-465-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1782225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand