Individual
MARY E THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
NORTHHAMPTON MANOR, 1020 16TH ST, FREDRICK, MD 21701
(301) 662-4916
Mailing address
340 WINONA ST, BETHALTO, IL 62010-1041
(618) 541-1900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2765
AL
224Z00000X
Occupational Therapy Assistant
—
IL
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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