Individual
HOLLY ERIN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 CORPORATE PARK DR, CLAYTON, MO 63105-4201
(314) 725-7447
Mailing address
22 GINGER RIDGE LN, GLEN CARBON, IL 62034-3404
(804) 814-8423
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2023031676
MO
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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