Mack, Tom

Mack, Tom is an individual health care provider with primary practice located at 222 Acacia St , Fairfield CA 94533-3800. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mack, Tom can be contacted via phone (707) 421-2095.

Contact Information

Primary practice address
222 Acacia St Fairfield CA 94533-3800
Phone: (707) 421-2095
Fax: (707) 434-9725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 24283 California

Profile Details

NPI number 1346395324
LBN Legal business name Mack, Tom
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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