Individual
JOHN ERICK THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4301 MCKINLEY AVE, GROVES, TX 77619
(409) 719-6079
Mailing address
4301 MCKINLEY AVE, GROVES, TX 77619-5917
(409) 719-6079
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2042398
TX
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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