| Doctor Name: | MR. ROBERT LOWELL THOMAS |
| NPI Number: | 1134389331 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 25117 Sw Parkway Ave Suite D Wilsonville, OR - 970709697 |
| Business Phone Number: | 5035703665 |
| Business Fax Number: | 8772572088 |
| Mailing Address: | 17725 Nw Gilbert Ln, PORTLAND |
| State: | OR |
| Postal Code: | 972298536 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2008 |
| NPI Last Update Date: | 12/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |