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MR. THOMAS JOHN MCCOIN P.T.

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1578514063

Individual Registrant:
MR. THOMAS JOHN MCCOIN P.T.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5600 PONY EXPRESS TRAIL #A CAMINO, CA 95709 US
Tel: 530-644-5225  Fax: 530-644-5777

Contact information for business:
5600 PONY EXPRESS TRAIL #A CAMINO, CA 95709 US
Tel: 530-644-5225  Fax: 530-644-5777

Registration Information:
NPI: 1578514063
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA21316
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CAPT 21316

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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