Individual
SCOTT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 SMITH LN, MARQUETTE, MI 49855-9352
(906) 361-9048
Mailing address
49 SMITH LN, MARQUETTE, MI 49855-9352
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003988
MI
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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