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Individual

LAURA ELAINE THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT, LMT

Contact information

Practice address
306 GEORGE BUSH DR E, COLLEGE STATION, TX 77840-2438
(979) 575-0452
Mailing address
306 GEORGE BUSH DR E, COLLEGE STATION, TX 77840-2438
(979) 575-0452

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT4943
TX
225700000X
Massage Therapist
Primary
MT126526
TX

Other

Enumeration date
07/29/2013
Last updated
12/13/2016
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