Individual
MICHELLE ANTOINETTE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
9030 W HADLEY ST, MILWAUKEE, WI 53222-4634
(262) 844-6439
Mailing address
9030 W HADLEY ST, MILWAUKEE, WI 53222-4634
(262) 844-6439
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1674-19
WI
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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