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Individual
MICHELLE THOMPSON
Active
Individual
MICHELLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21462
MD
225100000X
Physical Therapist
J100001445
DE
225100000X
Physical Therapist
PT013241L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11416966
CAQH
—
01
—
1327049
PABS
—
01
—
2003131000
AMERIHEALTH
PA
01
—
5070-0033
CAREFIRST
MD
01
—
61809611
CAREFIRST
MD
Enumeration date
06/11/2006
Last updated
01/30/2025
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