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Individual

BARBARA ANN THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.P.T.

Contact information

Practice address
25125 CLINTON KEITH RD, WILDOMAR, CA 92595-7708
(951) 218-6787
(951) 813-3899
Mailing address
25125 CLINTON KEITH RD, WILDOMAR, CA 92595-7708
(951) 218-6787
(951) 813-3899

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005176
CT
225100000X
Physical Therapist
1414
NE
225100000X
Physical Therapist
PT 009439-L
PA
225100000X
Physical Therapist
PT1623
MS
2251X0800X
Orthopedic Physical Therapist
Primary
PT 20758
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005176
STATE LICENSE
CT
01
1414
STATE LICENSE
NE
01
PT009439L
STATE LICENSE
PA
01
PT1623
STATE LICENSE
MS
01
PT20758
STATE LICENSE
CA
Enumeration date
09/07/2006
Last updated
05/25/2018
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