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Individual

ROSE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1206 N FULTON ST, RAEFORD, NC 28376-1926
(910) 875-4280
Mailing address
605 ASHBROOK CT APT H, FAYETTEVILLE, NC 28314-0874

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14155
NC

Other

Enumeration date
07/22/2021
Last updated
07/22/2021
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