Individual
JULIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
414 PENCO RD, WEIRTON, WV 26062-3822
(304) 723-3780
(304) 723-4110
Mailing address
414 PENCO RD, WEIRTON, WV 26062-3822
(304) 723-3780
(304) 723-4110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT028388
BOARD OF PHYSICAL THERAPY
PA
Enumeration date
09/22/2020
Last updated
08/03/2021
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