NPI 1023634193
Justin Lewis Thomas
Practice location
- Address
- 804 Industrial Park Rd, Maxwelton, WV 24957-8066
- Phone
- (304) 497-0500
- Mailing address
- 28 Willow Ln, Union, WV 24983-8408
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1023634193
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jun 2020
- Record last updated
- 24 Jun 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.