Individual
ROSLYN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
30901 PALMER RD, WESTLAND, MI 48186-9529
(734) 367-8504
(734) 722-9524
Mailing address
628 BLOOMFIELD AVE, PONTIAC, MI 48341-2714
(248) 334-8122
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
23878
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508883299
WRPH
MI
01
—
23878
NATL COUNCIL FOR THER REC
—
Enumeration date
08/10/2007
Last updated
08/10/2007
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