Thomas, Latasha N

Thomas, Latasha N is an individual health care provider with primary practice located at 10401 Hospital Dr Suite 102, Clinton MD 20735-3110. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Thomas, Latasha N can be contacted via phone (301) 856-0050.

Contact Information

Primary practice address
10401 Hospital Dr Suite 102 Clinton MD 20735-3110
Phone: (301) 856-0050
Fax: (301) 856-0518
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 23374 Maryland

Profile Details

NPI number 1629382924
LBN Legal business name Thomas, Latasha N
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2010
Last updated May 30th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629382924 NPPES
Maryland MEDICAID 196518200

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