Individual
TIFFANY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
700 CONGRESS AVE, HAVRE DE GRACE, MD 21078-3018
(410) 939-6600
Mailing address
4 TOPWOOD CT, PARKVILLE, MD 21234-1434
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00686
MD
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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