Individual
JEANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
10 TALCOTT NOTCH RD, SUITE 101, FARMINGTON, CT 06032-1800
(860) 674-1852
(860) 674-1937
Mailing address
10 TALCOTT NOTCH RD, SUITE 101, FARMINGTON, CT 06032-1800
(860) 674-1852
(860) 674-1937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004017
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080004017CT30
ANTHEM BLUE SHIELD
CT
01
—
1243160
AETNA
CT
01
—
3378723
CIGNA PPO
CT
Enumeration date
02/07/2006
Last updated
07/08/2007
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