Individual
MISS KRISTA MARY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
18 JACKSON STREET, MALDEN, MA 02148
(781) 321-1700
Mailing address
21 CAROL AVENUE, BURLINGTON, MA 01803
(781) 572-2864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17506
MA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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