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Individual

BRENT THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
2601 SOMERSET DR, NEW ORLEANS, LA 70131-5227
(504) 628-4765
(504) 265-0788
Mailing address
2601 SOMERSET DR, NEW ORLEANS, LA 70131-5227
(504) 628-4765
(504) 265-0788

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
019746-1
NY
225X00000X
Occupational Therapist
Primary
OTT.Z11853
LA

Other

Enumeration date
09/15/2009
Last updated
06/25/2015
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