Individual
MARYKATE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1274 CROMWELL CT, GALLATIN, TN 37066-5011
(630) 202-6086
Mailing address
1274 CROMWELL CT, GALLATIN, TN 37066-5011
(630) 202-6086
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6758
TN
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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