| NPI | 1194943027 |
|---|---|
| Former Name | ALICIA DAWN THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 2068) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 6828) |
| 174400000X Specialist (Licence: NV 2068) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-07-25 |