Individual
MADELYNN CAMILLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6223 SLATER ST, MERRIAM, KS 66202-2848
(816) 845-9100
Mailing address
12115 S BLACKBOB RD APT 308, OLATHE, KS 66062-6907
(817) 681-0457
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1801957
KS
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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