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Individual

JOHN D THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
52 RISING SUN TOWN CTR, RISING SUN, MD 21911-1902
(410) 658-0100
(410) 658-0199
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25024
MD
225100000X
Physical Therapist
J1-0003031
DE
225100000X
Physical Therapist
PT023127
PA

Other

Enumeration date
05/16/2013
Last updated
11/21/2014
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