Doctor Name: | MOLLY THOMA |
NPI Number: | 1659487957 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2432-24 |
Business Practice Address: | 1130 Collins Rd Jefferson, WI - 535492939 |
Business Phone Number: | 9206746077 |
Business Fax Number: | |
Mailing Address: | 350 Pagelow Rd, BROOKLYN |
State: | WI |
Postal Code: | 535219426 |
Phone Number: | 6084556026 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2432-24 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |