Individual
CARLA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014240
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070014240
STATE LICENSE
IL
01
—
753210
MEDICARE GROUP
—
Enumeration date
04/03/2006
Last updated
04/04/2026
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