Provider Demographics
NPI:1538486014
Name:THOMAS, REENA (RRT)
Entity Type:Individual
Prefix:
First Name:REENA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7740 NW 50TH ST
Mailing Address - Street 2:APT 208
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-5794
Mailing Address - Country:US
Mailing Address - Phone:954-747-5224
Mailing Address - Fax:
Practice Address - Street 1:7740 NW 50TH ST
Practice Address - Street 2:APT 208
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-5794
Practice Address - Country:US
Practice Address - Phone:954-747-5224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT10484227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered