Individual
MR. THOMAS S ZOMERSCHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1821
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200415
—
OR
01
—
410247401
REGENCE BCBS
OR
Enumeration date
01/26/2007
Last updated
05/18/2012
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