Provider Demographics
NPI:1225171366
Name:FAULDS, THOMAS CAMP (MSPT, ATC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:CAMP
Last Name:FAULDS
Suffix:
Gender:M
Credentials:MSPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01966-1741
Mailing Address - Country:US
Mailing Address - Phone:978-546-9775
Mailing Address - Fax:
Practice Address - Street 1:HARMELING PHYSICAL THERAPY
Practice Address - Street 2:85 CONSTITUTION LANE
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923
Practice Address - Country:US
Practice Address - Phone:978-750-8188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA93062251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic