Individual
MRS. SHARON AQUILA THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
7350 GRACELAND DR, OMAHA, NE 68134-4328
(402) 557-6631
Mailing address
2329 S 18TH ST, COUNCIL BLUFFS, IA 51501-7477
(712) 256-2286
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
663
NE
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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