Most Relevant Information
Provider Data
| NPI Number: | 1003047176 |
| Provider Name: | TONYA THOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/06/2009 |
| Last Updated: | 08/06/2009 |
Provider Practice Location
120 E GLENWOOD AVE
OLNEY
IL
624501825
Practice Location Phone/Fax
| Phone: | 6188438722 |
| Fax: |
Provider Mailing Location
120 E GLENWOOD AVE
OLNEY
IL
624501825
Provider Mailing Phone/Fax
| Phone: | 6188438722 |
| Fax: |