Individual
CALVIN DONALD THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
516 EAST GREEN BAY AVE, SAUKVILLE, WI 53080
(262) 284-9510
(262) 284-9511
Mailing address
516 EAST GREEN BAY AVE, SAUKVILLE, WI 53080
(262) 284-9510
(262) 284-9511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11814-24
WI
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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