Individual
STEPHEN J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
1800 N BROAD ST, PHILADELPHIA, PA 19121-3302
(570) 840-3601
Mailing address
1800 N BROAD ST, PHILADELPHIA, PA 19121-3302
(570) 840-3601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003498
PA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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