Individual
CLAYTON THOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 N MAIN ST, BOERNE, TX 78006-1621
(830) 249-3085
Mailing address
12330 VANCE JACKSON RD APT 2307, SAN ANTONIO, TX 78230
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2113266
TX
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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