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Individual

MRS. TAMARA SUE THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3176 BRADLEY DR, NEW BLOOMFIELD, MO 65063-1630
(573) 694-0350
Mailing address
5404 COUNTY ROAD 335, FULTON, MO 65251-5262
(573) 694-0350

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02063
MO

Other

Enumeration date
01/05/2010
Last updated
01/12/2024
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