Individual
MRS. KATHLEEN K THOMPSON
Active
Individual
MRS. KATHLEEN K THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005683
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305005683
VA LICENSE
VA
Enumeration date
06/08/2012
Last updated
11/27/2020
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