Individual
DEMETRIUS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS. OT.
Contact information
Practice address
1389 WEBER INDUSTRIAL DR, CUMMING, GA 30041-6468
(770) 886-6204
(678) 261-6421
Mailing address
1389 WEBER INDUSTRIAL DR, CUMMING, GA 30041-6468
(770) 886-6204
(678) 261-6421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007014
GA
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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