TOM HOSOM

PORT ORANGE, FL
NPI1225303464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2085598)
Enumeration Date2012-03-21
Last Update Date2012-03-21
Business Address
-- TOM HOSOM
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
Mailing Address
-- TOM HOSOM
3545 UTAH CT
FLORENCE, SC 29501-8625
Phone number:
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