Individual
MRS. LAURA JO THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2700 N PRICKETT RD STE 2B, BRYANT, AR 72022-7511
(501) 213-0594
Mailing address
28 CHICOT DR, MAUMELLE, AR 72113-5801
(501) 472-3008
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1456
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138303721
—
AR
Enumeration date
09/24/2006
Last updated
04/22/2024
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