Eli Clark Thom, DPT

NPI #1730764036 in Jackson, California

Provider Information

NPI Number: 1730764036
Entity Type: Individual
Name: Eli Clark Thom, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Mar 17, 2021
Last Updated: Mar 17, 2021

Practice Location

Address: 12150 INDUSTRY BLVD STE 42
City: Jackson
State: California
ZIP Code: 95642-9375
Phone: (209) 223-9410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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