Organization
ABILIKIDS. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA E THOMPSON PT (PHYSICAL THERAPIST)
(330) 225-4182
Entity
Organization
Contact information
Practice address
839 PEARL RD, BRUNSWICK, OH 44212-2559
(330) 225-4182
(330) 225-4879
Mailing address
839 PEARL RD, BRUNSWICK, OH 44212-2559
(330) 225-4182
(330) 225-4879
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2691243
—
OH
Enumeration date
09/20/2006
Last updated
06/19/2012
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