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Individual

MRS. ERIN MARIE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
510 N GRANDSTAFF DR, AUBURN, IN 46706-1660
(260) 927-9270
(260) 927-9272
Mailing address
4251 LAHMEYER RD, FORT WAYNE, IN 46815-5676
(260) 432-4700
(260) 459-9262

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009936A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100257920
MEDICAID - GROUP
IN
01
156546
MEDICARE - GROUP
IN
05
200965230A
IN
Enumeration date
07/16/2009
Last updated
05/16/2011
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