Individual
SEAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13103 KEVERTON DR, UPPER MARLBORO, MD 20774-1844
(718) 506-4646
Mailing address
13103 KEVERTON DR, UPPER MARLBORO, MD 20774-1844
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602229
VA
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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