Individual
HEATHER THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
205 BUD NALLEY DR, EASLEY, SC 29642-3578
(864) 350-1358
(855) 232-8604
Mailing address
205 BUD NALLEY DR, EASLEY, SC 29642-3578
(864) 350-1358
(855) 232-8604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1609
SC
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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