Individual
LATASHA N THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10401 HOSPITAL DR, SUITE 102, CLINTON, MD 20735-3110
(301) 856-0050
(301) 856-0518
Mailing address
10 SAINT PATRICKS DR, SUITE 401, WALDORF, MD 20603-4527
(301) 870-7366
(301) 870-6717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23374
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196518200
—
MD
Enumeration date
07/29/2010
Last updated
05/30/2012
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