Individual
ALLISON DONNA RUTH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5171 CUB LAKE RD STE 310, SHOW LOW, AZ 85901-7888
(928) 537-0248
Mailing address
2244 MAZATZAL, SHOW LOW, AZ 85901-7042
(928) 713-6311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9692A
AZ
Other
Enumeration date
05/24/2012
Last updated
01/16/2013
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