Individual
MALCOLM THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2626 GLENWOOD AVE, SUITE 160, RALEIGH, NC 27608-1043
(843) 469-5795
Mailing address
7719 WHISPERINGWOOD DR, HARRISBURG, NC 28075-6702
(843) 469-5795
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
3223
SC
225200000X
Physical Therapy Assistant
Primary
5496
NC
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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