Provider Demographics
NPI:1760529770
Name:THOMAS, LINDA KING (OTR)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:KING
Last Name:THOMAS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:KING-THOMAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:121 MEL OAK DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9305
Mailing Address - Country:US
Mailing Address - Phone:919-929-5756
Mailing Address - Fax:
Practice Address - Street 1:3514 UNIVERSITY DR
Practice Address - Street 2:SUITE 8
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6247
Practice Address - Country:US
Practice Address - Phone:919-493-7002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC248174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist