Individual
RAEANN SUSAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
3699 NW 32ND ST, NEWCASTLE, OK 73065-6559
(405) 387-5520
(405) 387-5404
Mailing address
2408 OLD CREEK RD, EDMOND, OK 73034-1537
(405) 820-5075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3557
OK
Other
Enumeration date
06/14/2005
Last updated
07/06/2021
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