| Doctor Name: | MR. THOMAS ANTHONY DEPAULIS |
| NPI Number: | 1285785790 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | QA002790 |
| Business Practice Address: | 176 Route 70 Medford, NJ - 080558704 |
| Business Phone Number: | 8566087733 |
| Business Fax Number: | 8566087750 |
| Mailing Address: | 9 Tunbridge Wells Ct, MEDFORD |
| State: | NJ |
| Postal Code: | 080553504 |
| Phone Number: | 6096546943 |
| Fax Number: | 8566087750 |
| NPI Enumeration Date: | 01/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | QA002790 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |