Individual
JACQUELINE LEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1046 S NORTH POINT RD, BALTIMORE, MD 21224-3307
(410) 282-0100
Mailing address
2915 GALLOWAY PL, ABINGDON, MD 21009-2681
(410) 282-0100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01409
MD
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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