Individual
JADA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2526 N MAIN ST, DANVILLE, VA 24540-2333
(434) 836-9510
Mailing address
164 PEACH CT, BASSETT, VA 24055-3034
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604040
VA
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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