Individual
STEPHANIE NICOLE THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16900 SCIENCE DR STE 104, BOWIE, MD 20715-4424
(301) 805-7110
(301) 805-7114
Mailing address
16900 SCIENCE DR STE 104, BOWIE, MD 20715-4424
(301) 805-7110
(301) 805-7114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4742
MD
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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