Individual
KIMBERLY THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
6070 AVENIDA ENCINAS, CARLSBAD, CA 92011-1001
(760) 444-0102
Mailing address
4408 SAN JOAQUIN ST, OCEANSIDE, CA 92057-6019
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 10175
CA
Other
Enumeration date
09/28/2013
Last updated
09/28/2013
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