Individual
MR. JAMES THOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5233 W MORGAN AVE, MILWAUKEE, WI 53220-1541
(414) 543-8111
(414) 543-8150
Mailing address
5233 W MORGAN AVE, MILWAUKEE, WI 53220-1541
(414) 543-8111
(414) 543-8150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1177-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40127100
—
WI
Enumeration date
12/13/2006
Last updated
07/08/2007
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