Individual
MARY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 OHIO ST, LEAVENWORTH, KS 66048-2932
(615) 896-6400
Mailing address
519 MARSHALL ST, LEAVENWORTH, KS 66048-3334
(913) 683-1599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1700486
KS
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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