Individual
MR. THOMAS C. BOEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
600 PENNSYLVANIA AVE SE STE 202, WASHINGTON, DC 20003-4344
(202) 543-9400
(202) 543-8990
Mailing address
600 PENNSYLVANIA AVE SE STE 202, WASHINGTON, DC 20003-4344
(202) 543-9400
(202) 543-8990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305003259
VA
225100000X
Physical Therapist
Primary
PT870722
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245010
ANTHEM
VA
Enumeration date
03/31/2006
Last updated
03/20/2019
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