Individual
MR. JASON P THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
530 SHADOWS LN, BATON ROUGE, LA 70806-6530
(225) 927-9185
(225) 231-3803
Mailing address
530 SHADOWS LN, BATON ROUGE, LA 70806-6530
(225) 927-9185
(225) 231-3803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10045
LA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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