Individual
TONYA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E GLENWOOD AVE, OLNEY, IL 62450-1825
(618) 843-8722
Mailing address
120 E GLENWOOD AVE, OLNEY, IL 62450-1825
(618) 843-8722
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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