Leroy Thomas
Rehabilitation Practitioner in Huntington Park, CA. Individual provider (NPI-1).
NPI number1083174882
StatusActive
Last updated in NPPESMar 20, 2019
Details
- NPI
- 1083174882
- Entity type
- Individual (NPI-1)
- Name
- Leroy Thomas
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2019
- Last updated
- Mar 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
2677 Zoe Ave Ste 304Huntington Park, CA 90255-3699
Phone 323-346-0960 · Fax 323-346-0966
Mailing address
2677 Zoe Ave Ste 304Huntington Park, CA 90255-3699
Phone 323-346-0960 · Fax 323-346-0966
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