Individual
VICKI THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
4006 AUSTIN DR, SAINT CHARLES, MO 63304-0318
(636) 922-1167
Mailing address
4006 AUSTIN DR, SAINT CHARLES, MO 63304-0318
(636) 922-1167
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
102299
MO
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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