Individual
LEAH R THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 LIBERTY RD S, SALEM, OR 97302-4560
(503) 749-9743
Mailing address
3220 LIBERTY RD S, SALEM, OR 97302-4560
(626) 795-0356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64681
OR
225100000X
Physical Therapist
PT301703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64681
PT LICENSE
OR
01
—
PT301703
PT LICENSE
CA
Enumeration date
02/17/2022
Last updated
10/17/2022
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