Individual
THAD TYLER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3039 OKATIE HWY, BLUFFTON, SC 29909-5101
(843) 705-8220
Mailing address
106 FAIRBURY DR, GOOSE CREEK, SC 29445-7028
(843) 442-8237
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5471
SC
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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