Tom Gollicker in Williston - Physical Therapy Assistant
Tom Gollicker - NPI 1114085339
Tom Gollicker is a Physical Therapy Assistant in Williston, Vermont. Tom Gollicker practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Tom Gollicker is 1114085339. The last update date is 2007-11-14.
Tom Gollicker's current location address is 151 Blair Park Rd, Williston, Vermont. You can contact this provider via phone number 8028790909 and fax number 8028793095. The mailing address for Tom Gollicker is 151 Blair Park Rd, Williston, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tom Gollicker |
|---|---|
| Address | 151 Blair Park Rd, Williston, Vermont |
| Phone Number | 8028790909 |
| Fax Number | 8028793095 |
| Sole Proprietor | N |
| Credentials | PT AIDE |
NPI Number Detail
| NPI Number | 1114085339 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-11-14 |
Provider Mailing Address Detail
| Address | 151 Blair Park Rd |
|---|---|
| City | Williston |
| State | Vermont (VT) |
| Post Code | 54957435 |
| Phone Number | 8028790909 |
| Fax Number | 8028793095 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 041-0000469 |
|
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tom Gollicker by the Centers for Medicare & Medicaid Services?
The Tom Gollicker has been issued the NPI (National Provider Identifier) 1114085339 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Tom Gollicker is physically located?
The Tom Gollicker is physically situated at the following address: 151 Blair Park Rd, Williston, VT, 54957435.
What is the area of specialization for Tom Gollicker, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tom Gollicker is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 225200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114085339 to Tom Gollicker?
The Centers for Medicare & Medicaid Services originally issued the 1114085339 to Tom Gollicker on 2006-12-04.
As of what date was the information regarding Tom Gollicker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tom Gollicker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-14.
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