Individual
JOHN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
21700 GREENFIELD RD, STE 123, OAK PARK, MI 48237-2581
(248) 761-9979
(586) 806-1524
Mailing address
21700 GREENFIELD RD, STE 123, OAK PARK, MI 48237-2581
(248) 761-9979
(586) 806-1524
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012836
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501012836
PHYSICAL THERAPY LICENSE
MI
Enumeration date
12/12/2006
Last updated
07/08/2007
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