Individual
MICHCHALONDA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
616 GREEN HOUSE WAY, CARMEL, IN 46032-3178
(317) 401-8888
Mailing address
8136 BRAEBURN TER, INDIANAPOLIS, IN 46219-2549
(317) 833-0106
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002748A
IN
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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