Individual
MRS. JENNIFER ALETHEA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1143 PIT RD., JAVA CENTER, NY 14082
(585) 457-4035
Mailing address
1143 PIT ROAD, JAVA CENTER, NY 14082
(585) 457-4035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004330-1
NY
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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