Individual
JACLYNN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 RESEARCH BLVD, SUITE 109, ROCKVILLE, MD 20850-3215
(724) 859-0185
Mailing address
103 MOHAWK ST, SUITE 200, KITTANNING, PA 16201-3329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT021474
PA
Other
Enumeration date
07/06/2011
Last updated
05/24/2021
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