Provider Demographics
NPI:1003236308
Name:MEALING, THOMAS CALVIN (DPT)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CALVIN
Last Name:MEALING
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:1377 MOTOR PKWY STE 307
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-5258
Mailing Address - Country:US
Mailing Address - Phone:631-580-5200
Mailing Address - Fax:631-580-5222
Practice Address - Street 1:439 CHANNEL RD STE 102
Practice Address - Street 2:
Practice Address - City:LAKE WYLIE
Practice Address - State:SC
Practice Address - Zip Code:29710-6101
Practice Address - Country:US
Practice Address - Phone:803-746-7800
Practice Address - Fax:803-746-7807
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2018-04-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT023267225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist