Individual
JACOB RYAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 OLD NEWPORT ST, NANTICOKE, PA 18634-1327
(570) 735-7300
Mailing address
250 DAVENPORT ST, DALLAS, PA 18612-1714
(570) 954-1434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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