Provider Demographics
NPI:1609929975
Name:THOMAS, ARLEEN D (PT, OWNER)
Entity type:Individual
Prefix:MRS
First Name:ARLEEN
Middle Name:D
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PT, OWNER
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1220 DIAMOND WAY
Mailing Address - Street 2:STE 120
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5286
Mailing Address - Country:US
Mailing Address - Phone:925-566-8670
Mailing Address - Fax:925-566-8671
Practice Address - Street 1:1220 DIAMOND WAY
Practice Address - Street 2:STE 120
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5286
Practice Address - Country:US
Practice Address - Phone:925-566-8670
Practice Address - Fax:925-566-8671
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT18900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist