Individual
INGRID C. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
106 BOONE DR, SUMMERVILLE, SC 29485-3413
(843) 509-6626
(843) 821-5859
Mailing address
106 BOONE DR, SUMMERVILLE, SC 29485-3413
(843) 509-6626
(843) 821-5859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4437
SC
2251P0200X
Pediatric Physical Therapist
Primary
4437
SC
Other
Enumeration date
04/22/2008
Last updated
03/30/2011
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