Individual
LENETTE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 WAKEFIELD ST, MADISON, WI 53711-1407
(608) 279-7417
Mailing address
4501 WAKEFIELD ST, MADISON, WI 53711-1407
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
675
WI
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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