Individual
TIFFANY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 N THOMPSON ST, SPRINGDALE, AR 72764-4118
(479) 750-8800
Mailing address
14100 LAKE POINT DR, LOWELL, AR 72745-8653
(719) 640-6842
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
31419
FL
225200000X
Physical Therapy Assistant
Primary
1482
AR
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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