Individual
MIKE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 E STATE ST, FARMINGTON, UT 84025-2344
(018) 402-5136
Mailing address
2746 E 25 S, LAYTON, UT 84040-4422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
281400-4201
UT
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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