Individual
BRENT THOMPSON RACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 SEVILLE RD, HURRICANE, WV 25526-9206
(304) 757-6805
Mailing address
215 HOLLEY CT, BARBOURSVILLE, WV 25504-1006
(304) 942-9046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002496
WV
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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