Jelica Thomassen, P.T.A.
Physical Therapy Assistant in College Station, TX. Individual provider (NPI-1).
NPI number1508288564
StatusActive
Last updated in NPPESJan 10, 2014
Details
- NPI
- 1508288564
- Entity type
- Individual (NPI-1)
- Name
- Jelica Thomassen
- Credential
- P.T.A.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2014
- Last updated
- Jan 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2099683 | TX | Yes |
| 225200000X | Physical Therapy Assistant | 24097 | FL |
Practice location
301 Holleman Dr E Apt 832College Station, TX 77840-7048
Phone 941-544-2334
Mailing address
301 Holleman Dr. E #832College Station, TX 77840
Phone 941-544-2334
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Other Physical Therapy Assistant providers in College Station, TX
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- Charly Ross U LinganNPI 1790266146
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All 18 Physical Therapy Assistant providers in College Station · All 2,216 providers in College Station
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