Individual
KELSEY JO THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
174 ROLLING CREEK DR, RAEFORD, NC 28376-9447
(270) 704-0216
Mailing address
174 ROLLING CREEK DR, RAEFORD, NC 28376-9447
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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