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Individual

THOMAS IAN MACLAY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT MS

Contact information

Practice address
1110 PRIM RD, COLCHESTER, VT 05446-6403
(503) 530-6753
Mailing address
1270 N MARINE CORPS DR, STE 101 PMB 2174, TAMUNING, GU 96913
(671) 777-5783

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0274541
NY
225100000X
Physical Therapist
Primary
040.0087580
VT
225100000X
Physical Therapist
5555
OR

Other

Enumeration date
02/28/2007
Last updated
09/05/2023
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