Individual
RACHELLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(386) 756-4395
(386) 944-7202
Mailing address
414 TAYLOR RIDGE WAY, PALMYRA, VA 22963-4938
(386) 756-4395
(386) 944-7202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602984
VA
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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