Individual
MRS. GENETTA R THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6108 THACKERY DR, DENTON, TX 76210-0426
(940) 300-3585
Mailing address
6108 THACKERY DR, DENTON, TX 76210-0426
(940) 300-3585
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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