NPI 1225453079

Delroy Thomas, PTA

Practitioner Physical Disabilities Residential Treatment Facility McDonough, GA

Practice location

Address: 8099 Revere Dr, McDonough, GA 30252-8924
Phone: (404) 543-3823

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence PTA001826 (GA)

Other Residential Treatment Facility, Physical Disabilities providers in Georgia →

Registry record

NPI: 1225453079
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2014
Record last updated: 3 Mar 2014

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.