Individual
MRS. KIMBERLY KAY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1700 E STONE ST, BRENHAM, TX 77833-5150
(979) 830-1996
Mailing address
2215 HIGHWAY 290 E, BRENHAM, TX 77833-5937
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2148309
TX
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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