Thomas, Autumn

Thomas, Autumn is an individual health care provider with primary practice located at 139 Bamboo Ave Se , Palm Bay FL 32909-3764. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Thomas, Autumn can be contacted via phone (321) 537-1857.

Contact Information

Primary practice address
139 Bamboo Ave Se Palm Bay FL 32909-3764
Phone: (321) 537-1857
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X T520-017-93-802-0 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL4840 Florida

Profile Details

NPI number 1114333499
LBN Legal business name Thomas, Autumn
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2014
Last updated Nov 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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