Zachary Thomas ATC, LAT

NPI 1477994325 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1477994325
Gender Male
Enumeration Date 07/08/2013
Last Updated 07/08/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
790 REMINGTON BLVD
BOLINGBROOK IL, 60440-4909, US
Phone (301) 461-8290
Fax
Business Location
4806 TALLAHASSEE AVE
ROCKVILLE MD, 20853-3143, US
Phone (301) 461-8290
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Maryland
License Number A00512
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According to our database, Zachary Thomas ATC, LAT NPI is 1477994325, taxonomy code is 2255A2300X and license number is A00512, license state is located at Maryland. Zachary Thomas ATC, LAT physically located at 790 Remington Blvd, Bolingbrook IL, 60440-4909. NPI Number Zachary Thomas ATC, LAT has the Individual type.

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1477994325 NPI number is provided on an as is basis without warranty of any kind. 1477994325 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Thomas ATC, LAT are for informational purposes only.