Individual
ANTHONY COLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1120 W DONEGAN AVE, KISSIMMEE, FL 34741-2247
(407) 847-2854
Mailing address
1120 W DONEGAN AVE, KISSIMMEE, FL 34741-2247
(407) 847-2854
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17063
FL
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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