Individual
MR. DOUGLAS L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
136 DONAHUE MANOR RD, BEDFORD, PA 15522-9728
(814) 623-9075
Mailing address
1035 W RACE ST, SOMERSET, PA 15501-1709
(814) 444-1814
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006687
PA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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