Individual
MR. THOMAS PATRICK BILLINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1500 GRAND CENTRAL AVE, SUITE 101, VIENNA, WV 26105-1079
(304) 295-3060
(304) 295-3068
Mailing address
1500 GRAND CENTRAL AVE, SUITE 101, VIENNA, WV 26105-1079
(304) 295-3060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002490
WV
225100000X
Physical Therapist
004756
KY
225100000X
Physical Therapist
011100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000391724
ANTHEM BC BS
OH
Enumeration date
05/11/2006
Last updated
01/10/2014
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