Most Relevant Information
Provider Data
NPI Number: | 1003033275 |
Provider Name: | JENNIFER THOMAS |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 5864 |
Most Important Dates
Enumeration Date: | 04/19/2007 |
Last Updated: | 07/09/2007 |
Provider Practice Location
610 NASH ST NE
WILSON
NC
278933045
Practice Location Phone/Fax
Phone: | 2522930739 |
Fax: |
Provider Mailing Location
PO BOX 8003
WILSON
NC
278931003
Provider Mailing Phone/Fax
Phone: | |
Fax: |