Individual
DEBRA J THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1200 MAGNOLIA WAY, BLUE SPRINGS, MS 38828-6000
(662) 871-4065
(662) 680-5114
Mailing address
342 N SWEET GUM LN, TUPELO, MS 38801-7765
(662) 871-4065
(662) 680-5114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1003
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1003
MISSISSIPPI STATE BOARD OF PHYSICAL THERAPY
MS
Enumeration date
09/09/2010
Last updated
07/17/2012
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