Individual
MARY ALICE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-6634
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-6634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208894
VA
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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