Individual
RHONDA MICHELLE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
709 LEYTONSTONE AVE, MODESTO, CA 95355-4414
(209) 499-0988
Mailing address
709 LEYTONSTONE AVE, MODESTO, CA 95355-4414
(209) 499-0988
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA521
CA
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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