Individual
MICHAEL SIMON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC, CSCS
Contact information
Practice address
1 WINNING DR, OWINGS MILLS, MD 21117-4776
(570) 690-0058
Mailing address
1 WINNING DR, OWINGS MILLS, MD 21117-4776
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000249
PA
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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