Individual
JASON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3435 LIVERNOIS RD, TROY, MI 48083-5063
(248) 743-1234
(248) 743-1211
Mailing address
29255 NORTHWESTERN HWY, STE. 300, SOUTHFIELD, MI 48034-1018
(248) 353-1234
(248) 353-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017086
MI
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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