Individual
TANIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23814 BURDETTE FOREST RD, CLARKSBURG, MD 20871-4388
(240) 855-1219
Mailing address
23814 BURDETTE FOREST RD, CLARKSBURG, MD 20871-4388
(240) 855-1219
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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