Individual
MRS. CAROLYN GRACE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, L-ATC
Contact information
Practice address
8483 PAINT BRANCH RD, COLLEGE PARK, MD 20742-8053
(202) 699-1655
Mailing address
1516 HICKORY WOOD DR, ANNAPOLIS, MD 21409-5435
(908) 432-3971
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001285
MD
Other
Enumeration date
12/20/2017
Last updated
06/28/2024
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