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Individual

MICHELE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L M.ED

Contact information

Practice address
30 3 HEART RANCH RD, DOUGLAS, WY 82633-9000
(307) 359-3929
Mailing address
30 3 HEART RANCH RD, DOUGLAS, WY 82633-9000
(307) 359-3929

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
SPED TEACHER
WY
225X00000X
Occupational Therapist
Primary
211
WY

Other

Enumeration date
12/26/2014
Last updated
12/26/2014
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