Provider Demographics
NPI:1821531096
Name:THOMAS, CYNTHIA D
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:D
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 44TH PL N
Mailing Address - Street 2:# B
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35212-2143
Mailing Address - Country:US
Mailing Address - Phone:513-668-8385
Mailing Address - Fax:
Practice Address - Street 1:911 44TH PL N
Practice Address - Street 2:# B
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35212-2143
Practice Address - Country:US
Practice Address - Phone:513-668-8385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1416891744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management