Individual
MRS. TIFFANY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 AMHERST CT, CHINA GROVE, NC 28023-9781
(704) 819-5682
Mailing address
721 AMHERST CT, CHINA GROVE, NC 28023-9781
(704) 819-5682
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605789
VA
225200000X
Physical Therapy Assistant
CP004871A
NC
Other
Enumeration date
09/01/2022
Last updated
03/21/2023
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