Provider Demographics
NPI:1134283906
Name:THOMASON, CINDY ANN (PT, CHT)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:ANN
Last Name:THOMASON
Suffix:
Gender:F
Credentials:PT, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 HAZELNUT DR
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94561-2402
Mailing Address - Country:US
Mailing Address - Phone:925-625-0186
Mailing Address - Fax:925-779-5296
Practice Address - Street 1:3400 DELTA FAIR BLVD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-4004
Practice Address - Country:US
Practice Address - Phone:925-779-5156
Practice Address - Fax:925-779-5296
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10747225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist