Individual
MS. WILLIE MAE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
716 FAIRVIEW AVE, BELVEDERE, SC 29841-1801
(803) 979-3417
Mailing address
716 FAIRVIEW AVE, BELVEDERE, SC 29841-1801
(803) 979-3417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1336
SC
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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