Individual
JAN MARIE THRASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
701 SIOUAN RD, EBONY, VA 23845-2050
(434) 955-0256
Mailing address
1090 OCCANECCHI TRL, EBONY, VA 23845-2035
(434) 636-4058
(434) 636-4058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202280
VA
225100000X
Physical Therapist
5391
NC
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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