Individual
MR. TUDUR GWYN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MBA
Contact information
Practice address
2205 S MAIN ST, LAS CRUCES, NM 88005-3113
(575) 652-3515
(575) 652-3518
Mailing address
2205 S MAIN ST, LAS CRUCES, NM 88005-3113
(575) 652-3515
(575) 652-3518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1564
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000S8096
—
NM
Enumeration date
03/29/2006
Last updated
04/19/2017
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