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Individual

MARY WEBB THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1409 W BADDOUR PKWY, SUITE A, LEBANON, TN 37087-2599
(615) 444-1408
(615) 444-1393
Mailing address
1427 W BADDOUR PKWY STE A, LEBANON, TN 37087-3062
(615) 444-1408
(615) 444-1393

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8179
TN
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3727276
GROUP MEDICARE LEGACY NUMBER
TN
Enumeration date
09/12/2008
Last updated
11/22/2021
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