Individual
BRANDY L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
400 NORTH ST, SUITE 2, SACO, ME 04072-1867
(207) 282-7121
(207) 282-0073
Mailing address
400 NORTH STREET, SUITE 2, SACO, ME 04072
(207) 282-7121
(207) 282-0073
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT275
ME
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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