Individual
KAITLYN THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1200 S MAIN ST, ADA, OH 45810-2616
(567) 221-1021
Mailing address
312 TURNER AVE, ADA, OH 45810-1055
(419) 230-2377
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011695
OH
Other
Enumeration date
07/26/2018
Last updated
02/08/2021
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