Individual
BECKY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
116 W THIGPEN AVE, LAKELAND, GA 31635-1011
(229) 482-8578
(229) 482-8556
Mailing address
116 W THIGPEN AVE, LAKELAND, GA 31635-1011
(229) 482-8578
(229) 482-8556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001181
GA
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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