Individual
MR. DAVID SCOTT THOMAS
Active
Individual
MR. DAVID SCOTT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO OTC
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C16007
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455062
—
TN
05
—
1507472
—
TN
01
—
C16007
BOC
—
01
—
IO2135
INT'L ASSOC. FOR ORTHOTIS
—
Enumeration date
09/04/2007
Last updated
12/07/2010
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