Individual
MR. BIJI THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
871 HERRIOT DR APT 202, MAUSTON, WI 53948-2017
(608) 343-7604
Mailing address
871 HERRIOT DR APT 202, MAUSTON, WI 53948-2017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3864-154
WI
Other
Enumeration date
12/03/2013
Last updated
09/23/2015
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