Individual
KEVON THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 JENNIFER LN, EAST LONGMEADOW, MA 01028-5804
(413) 246-2525
Mailing address
4 JENNIFER LN, EAST LONGMEADOW, MA 01028-5804
(413) 246-2525
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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