Individual
KELLY MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
401 S GALLAHER VIEW RD APT 210, KNOXVILLE, TN 37919-5334
(651) 343-7971
Mailing address
18704 N COOK DR, MARICOPA, AZ 85138-4499
(651) 343-7971
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008212
AZ
225X00000X
Occupational Therapist
5330
TN
225X00000X
Occupational Therapist
OT1870
HI
225X00000X
Occupational Therapist
OT19912
FL
Other
Enumeration date
04/08/2019
Last updated
12/30/2023
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