Individual
MR. THOMAS RICHARD TOMASZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
440 WELLS ST, SUITE 200, DELAFIELD, WI 53018-1409
(479) 201-2844
Mailing address
1806 OAK LEAF DR, GREEN BAY, WI 54304-1779
(920) 497-8490
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
757-19
WI
314000000X
Skilled Nursing Facility
757-19
WI
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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