Individual
JUSTIN WILLIAM THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 NW FORT SILL BLVD, LAWTON, OK 73507-4064
(580) 465-1829
Mailing address
1913 QUAIL RD, MARLOW, OK 73055-9785
(580) 465-1829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4060
OK
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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