Doctor Name: | MRS. JOANN MARIE SOLIS THOMAS |
NPI Number: | 1265681456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA, LMT |
License Number: | MA28457 |
Business Practice Address: | 3417 Tamiami Trl Ste A Port Charlotte, FL - 339528158 |
Business Phone Number: | 9416246222 |
Business Fax Number: | 9416246821 |
Mailing Address: | 12366 Corporal Cir, PORT CHARLOTTE |
State: | FL |
Postal Code: | 339532259 |
Phone Number: | 9412550957 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2008 |
NPI Last Update Date: | 10/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA28457 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |