Basic Information
| Provider Information | |||||||||
| NPI: | 1588900724 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THOMAS | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | S. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 30811 | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379300811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8658885431 | ||||||||
| FaxNumber: | 8658885432 | ||||||||
| Practice Location | |||||||||
| Address1: | 142 FAIRBANKS RD | ||||||||
| Address2: | |||||||||
| City: | OAK RIDGE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378307000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8658885431 | ||||||||
| FaxNumber: | 8658885432 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/17/2012 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 9508 | TN | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.