NPI 1730554627

Charles Thomas

Practitioner Physical Therapy Assistant Madison, MS

Practice location

Address: 401 Baptist Dr Suite 306, Madison, MS 39110-2009
Phone: (601) 607-7204

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA3360 (MS)

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Registry record

NPI: 1730554627
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Dec 2015
Record last updated: 3 Dec 2015

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.