Individual
MIKAELA L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
5815 W UTOPIA ROAD, GLENDALE, AZ 85308-5229
(623) 537-6000
(623) 537-6014
Mailing address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6000
(623) 537-6014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6062
AZ
Other
Enumeration date
02/10/2015
Last updated
10/18/2023
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