Individual
CLODAGH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6332
OREGON PT LICENSING BOARD
OR
01
—
P1233
LICENSE#
AK
Enumeration date
11/20/2006
Last updated
10/26/2012
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