Individual
MRS. CRYSTAL DENISE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 JACOBS HWY, CLINTON, SC 29325-7279
(864) 833-2550
Mailing address
304 ARIEL CT, FOUNTAIN INN, SC 29644-3528
(864) 409-1226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2748
SC
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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