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Individual
MELISSA JENNINGS FABRY THOMAS
Active
Individual
MELISSA JENNINGS FABRY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60369831
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0316275
DEPT. OF LABOR AND INDUSTRIES
WA
05
—
1043643422
—
WA
01
—
P01276059
MEDICARE RAILROAD
WA
Enumeration date
08/20/2013
Last updated
07/14/2021
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