Individual
TAMMY RAE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC
Contact information
Practice address
640 NORTH HERMITAGE ROAD, HERMITAGE, PA 16148
(724) 981-8750
Mailing address
1607 FARRELL TERRACE, FARRELL, PA 16121
(724) 866-0464
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001052A
PA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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