Individual
JERIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1113 EASTON RD, WILLOW GROVE, PA 19090-1901
(215) 659-3060
Mailing address
10129 JEANES ST, PHILADELPHIA, PA 19116-3658
(215) 673-1459
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010871
PA
Other
Enumeration date
02/06/2016
Last updated
02/06/2016
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