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Individual

LAURA E THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
301B E DEKALB ST, CAMDEN, SC 29020-4495
(803) 432-2432
(803) 432-1779
Mailing address
301B E DEKALB ST, CAMDEN, SC 29020-4495
(803) 432-2432
(803) 432-1779

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5032
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TH1705
SC
Enumeration date
05/06/2006
Last updated
11/26/2007
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