Individual
KARI THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
449 S. FITNESS PL, EAGLE, ID 83616
(310) 344-2276
Mailing address
449 S FITNESS PL, EAGLE, ID 83616-6828
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2077
CA
225XP0200X
Pediatric Occupational Therapist
OT-897
ID
Other
Enumeration date
12/09/2009
Last updated
05/16/2014
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