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NPI Code Detail

MEDICARE: MR. THOMAS STEVEN DOLIAS, JR PTA

MEDICARE: MR. THOMAS STEVEN DOLIAS, JR PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant3832TN

General Provider Information

NPI Number : 1932498540
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS STEVEN DOLIAS, JR PTA
Provider Business Mailing Address
First Line : 4719 PLYMOUTH RD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37914-4900
Country : US
Telephone Number : 865-951-0817
Fax Number :
Provider Business Practice Location Address
First Line : 3916 BOYDS BRIDGE PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37914-6233
Country : US
Telephone Number : 865-524-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2011
Last Update Date : 04/04/2011

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