Individual
MRS. HEIDI JOANNE DALLE AVE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
5255 E STOP 11 RD, INDIANAPOLIS, IN 46237-6341
(317) 884-5265
(317) 884-5365
Mailing address
6702 FAIRWOOD DR, INDIANAPOLIS, IN 46256-3220
(317) 577-8471
(317) 884-5365
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000412A
IN
Other
Enumeration date
02/14/2006
Last updated
07/08/2007
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