Individual
JANICE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14046 161ST ST, JAMAICA, NY 11434-4426
(718) 807-5909
Mailing address
14046 161ST ST, JAMAICA, NY 11434-4426
(718) 807-5909
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009727
NY
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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