Individual
KEVIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-0660
(760) 934-7302
(760) 934-1779
Mailing address
PO BOX 660, 85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-0660
(760) 934-7302
(760) 934-1779
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2336
CA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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