Individual
TODD WILLIAM THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 215-1507
(505) 608-6277
Mailing address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 215-1507
(505) 608-6277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2668
NM
Other
Enumeration date
06/26/2007
Last updated
05/30/2008
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