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Individual

REGINA T THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ITDS

Contact information

Practice address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 974-0602
(813) 558-1343
Mailing address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 974-0602
(813) 558-1343

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000644900
FL
Enumeration date
02/03/2009
Last updated
10/07/2019
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