Individual
KELLY JEAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 PROVIDENCE AVE, BERLIN, NH 03570-3130
(603) 752-1820
Mailing address
29 PROVIDENCE AVE, BERLIN, NH 03570-3130
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0987
NH
Other
Enumeration date
07/31/2010
Last updated
07/31/2010
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