Individual
DIANE MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14985 OLD SAINT AUGUSTINE RD, SUITE 106, JACKSONVILLE, FL 32258-9477
(904) 288-9491
(904) 288-9698
Mailing address
1325 SAN MARCO BLVD, SUITE 102, JACKSONVILLE, FL 32207-8568
(904) 858-7045
(904) 858-7047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18892
FL
Other
Enumeration date
02/09/2007
Last updated
10/30/2012
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