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Individual
NICOLE KRISTINE THOMPSON
Active
Individual
NICOLE KRISTINE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT, OTD, CBIS
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
225X00000X
Occupational Therapist
31007764A
IN
Other
Enumeration date
05/24/2019
Last updated
05/08/2023
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