Individual
THOMAS ROBERT FELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
461 N YUCCA CIR, MESA, AZ 85201-4551
(480) 366-4948
Mailing address
173 TERRACE AVE, ELMONT, NY 11003-1739
(516) 314-6315
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
AZ
Other
Enumeration date
08/16/2021
Last updated
08/25/2021
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