Individual
PAM THOMASSON
Active
Individual
PAM THOMASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
004864
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00417206
MEDICARE RAILROAD PTAN
—
Enumeration date
03/22/2006
Last updated
02/26/2008
Update your record
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