Individual
KIRSTEN JORDAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1311 AUGUSTA RD, WEST COLUMBIA, SC 29169-6320
(803) 926-7204
Mailing address
1311 AUGUSTA RD, WEST COLUMBIA, SC 29169-6320
(803) 926-7204
(803) 926-7206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3101
SC
Other
Enumeration date
04/26/2006
Last updated
03/11/2019
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