Individual
MARK THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 PARSONAGE RD, GREENWICH, CT 06830-3941
(203) 618-4200
Mailing address
528 MUNRO AVE, MAMARONECK, NY 10543-3419
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000679
CT
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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