Individual
DR. BLAIR TYSON THOMASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
5859 HARBOUR VIEW BLVD, SUITE 100, SUFFOLK, VA 23435-3015
(757) 686-0205
Mailing address
112 HORSE RUN DR, CHESAPEAKE, VA 23322-5323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205064
VA
Other
Enumeration date
07/04/2007
Last updated
07/08/2007
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