Individual
MRS. JULIE A THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1807 W MOLINE ST, MALVERN, AR 72104-2645
(870) 917-7806
Mailing address
104 TANNDA ST, HOT SPRINGS NATIONAL PARK, AR 71913-2546
(501) 590-6852
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA562
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178519721
—
AR
Enumeration date
11/11/2009
Last updated
03/05/2024
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