Individual
MRS. STACY DEANN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3135 ZION RD, HENDERSON, KY 42420-9204
(270) 826-0028
Mailing address
2513 ANGUS DR, HENDERSON, KY 42420-4772
(270) 827-4983
(270) 827-4983
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R2584
KY
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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