Individual
DR. JUSTIN LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 882-6311
Mailing address
1121 LADY GINGER LN, VIRGINIA BEACH, VA 23455-5657
(757) 831-2834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211630
VA
225100000X
Physical Therapist
63063
OR
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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