Individual
SEAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7251 GRACE LN, MECHANICSVILLE, VA 23111-1207
(804) 200-2097
Mailing address
7251 GRACE LN, MECHANICSVILLE, VA 23111-1207
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603673
VA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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