Provider Demographics
NPI:1275837833
Name:WELSH, THOMAS HENRY JR (DPT, CSCS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:HENRY
Last Name:WELSH
Suffix:JR
Gender:M
Credentials:DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:910 JOHNNIE DODDS BLVD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3105
Mailing Address - Country:US
Mailing Address - Phone:843-971-0291
Mailing Address - Fax:843-971-5997
Practice Address - Street 1:910 JOHNNIE DODDS BLVD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3105
Practice Address - Country:US
Practice Address - Phone:843-971-0291
Practice Address - Fax:843-971-5997
Is Sole Proprietor?:No
Enumeration Date:2010-12-22
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC6333225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist