Individual
THAMAR PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, LAT, ATC
Contact information
Practice address
1163 COUNTRY CLUB RD, MONONGAHELA, PA 15063-1013
(724) 258-1000
Mailing address
209 PLEASANT VALLEY BLVD, ROSTRAVER TOWNSHIP, PA 15012-4203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
RT005783
PA
363AM0700X
Medical Physician Assistant
Primary
MA064198
PA
Other
Enumeration date
03/09/2018
Last updated
12/16/2022
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