Individual
KIMBERLY RENEE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-1297
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-1297
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
08-3326
TX
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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