NPI | 1740530468 |
---|---|
Former Name | TONYA N. THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2016042621) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9958) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2018-03-17 |