Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner |
NPI | 1043500051 |
---|---|
Provider Name | Mrs. Carin Ann Thomas |
First Address | Las Vegas, NV 89146-1260 |
Second Address | Las Vegas, NV 89146-1260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2011 |
Last Update Date | 15/01/2019 |