Individual
GEORGE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2445 MISSOURI AVE STE A, LAS CRUCES, NM 88001-5111
(575) 523-8080
(575) 523-8861
Mailing address
2445 MISSOURI AVE., SUITE A, LAS CRUCES, NM 88001
(575) 523-8080
(575) 523-8861
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3153
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3153
3153
NM
Enumeration date
07/08/2014
Last updated
07/08/2014
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