Individual
JERRY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 PRIVATE ROAD 4777, PEDRO, OH 45659-9047
(740) 646-4710
Mailing address
285 PRIVATE ROAD 4777, PEDRO, OH 45659-9047
(740) 646-4710
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OH
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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