Individual
MR. JAY B.G THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11406 LOMA LINDA DR, LOMA LINDA, CA 92354-3711
(909) 558-6144
Mailing address
35575 PENROSE LN, YUCAIPA, CA 92399-5570
(909) 795-7048
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 14702
CA
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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