Individual
MR. THOMAS FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4146 S 7TH ST, TERRE HAUTE, IN 47802-4123
(812) 242-2332
(812) 242-2772
Mailing address
4146 S 7TH ST, TERRE HAUTE, IN 47802-4123
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004383A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06004383A
STATE LICENSE
IN
Enumeration date
02/08/2017
Last updated
02/08/2017
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