Charles Thomas

NPI #1730554627 in Madison, Mississippi

Provider Information

NPI Number: 1730554627
Entity Type: Individual
Name: Charles Thomas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 3, 2015
Last Updated: Dec 3, 2015

Practice Location

Address: 401 BAPTIST DR
Address 2: SUITE 306
City: Madison
State: Mississippi
ZIP Code: 39110-2009
Phone: (601) 607-7204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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