Individual
THOMAS POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 PROCTOR AVE, REVERE, MA 02151-4923
(781) 286-3100
Mailing address
158 SHERIDAN AVE, MEDFORD, MA 02155-2745
(512) 294-0190
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9684
MA
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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