Individual
ELIZABETH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1004 MISSION DR, NEW BRAUNFELS, TX 78130-6129
(830) 625-8338
Mailing address
PO BOX 1747, CANYON LAKE, TX 78133-0005
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214718
TX
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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