NPI 1710574280

Mildred Romain Thomas

Practitioner Mastectomy Fitter Philadelphia, PA

Practice location

Address: 4658 Boudinot St Lowr Level, Philadelphia, PA 19120-4521
Phone: (215) 313-0320
Fax: (215) 324-1903

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X Licence C70579 (PA)

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Registry record

NPI: 1710574280
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2020
Record last updated: 27 Feb 2024

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.