Individual
ANDRA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.,C.
Contact information
Practice address
276 RECREATION BLDG, 147D, STATE COLLEGE, PA 16802-5701
(814) 867-0478
Mailing address
147 NORTH ATHERTON ST., 147D REC HALL, UNIVERSITY PARK, PA 16802
(814) 867-0478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001512A
PA
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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