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Individual

BROOKE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
3449 NEWMARK DR, MIAMISBURG, OH 45342-5426
(937) 281-1286
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
OTA.05587
OH
225X00000X
Occupational Therapist
Primary
OT011566
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0406425
OH
Enumeration date
09/24/2015
Last updated
11/04/2025
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