Individual
MRS. SUSAN PAULA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3125 EAST THIRD STREET, BASILE, LA 70515
(337) 432-5725
Mailing address
PO BOX 96, BASILE, LA 70515-0096
(337) 432-5725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00466
LA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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