Individual
KELLY SHEA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4051 E OLIVE RD APT 287, PENSACOLA, FL 32514-6475
(251) 709-3423
Mailing address
4051 E OLIVE RD APT 287, PENSACOLA, FL 32514-6475
(251) 709-3423
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
31374
FL
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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