Individual
MRS. JUANITA CHRISTIAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPY LIC
Contact information
Practice address
2005 TOBIN DR, FLORENCE, SC 29501-1434
(843) 662-4499
Mailing address
2005 TOBIN DR, FLORENCE, SC 29501-1434
(843) 662-4499
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
586
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0094
—
SC
Enumeration date
02/29/2008
Last updated
02/29/2008
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