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Individual

RENEE MARIAM THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1215
(405) 271-2131
Mailing address
11513 SW 11TH ST, YUKON, OK 73099-6740
(405) 208-3089

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1900
OK

Other

Enumeration date
05/24/2011
Last updated
05/24/2011
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