Provider Demographics
NPI:1841835741
Name:THOMAS, FORRESTER (MS OTR/L)
Entity type:Individual
Prefix:MR
First Name:FORRESTER
Middle Name:
Last Name:THOMAS
Suffix:
Gender:M
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 1:857 CRAWFORD LN
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36617-3877
Mailing Address - Country:US
Mailing Address - Phone:251-476-3446
Mailing Address - Fax:
Practice Address - Street 1:4720 MORRISON DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-3321
Practice Address - Country:US
Practice Address - Phone:251-455-1755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist