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Individual

MR. THOMAS SYRIAC

Active
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Individual

MR. THOMAS SYRIAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5501009312
MI
225100000X
Physical Therapist
Primary
5501009312
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1831461201
TYPE 2 NPI OF INSPIRATIONS REHAB
MI
01
1952498180
TYPE 2 NPI OF ALTERNATIVE REHAB INC
MI
Enumeration date
10/12/2006
Last updated
05/02/2019
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