Individual
LISA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8480 LIMEKILN PIKE APT 710, WYNCOTE, PA 19095-2809
(703) 565-7121
Mailing address
6550 PLUMMER RD SW, ATLANTA, GA 30331-7612
(703) 565-7121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014026
GA
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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