Individual
MRS. LISA MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7540 N 19TH AVE, PHOENIX, AZ 85021-7967
(888) 873-4221
(888) 543-2289
Mailing address
1404 N ALPINE HEIGHTS DR, PAYSON, AZ 85541-3328
(480) 217-2681
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0007A
AZ
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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