Individual
GREGORY TODD THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
247 KING ST, RAVENNA, OH 44266-2852
(330) 687-3625
Mailing address
247 KING ST, RAVENNA, OH 44266-2852
(330) 687-3625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4410
OH
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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