Individual
PAUL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 STATE ST, MOUND CITY, MO 64470-7202
(816) 262-5956
Mailing address
1512 NW KINGSTON DR, BLUE SPRINGS, MO 64015-2479
(816) 853-8031
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
115064
MO
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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