Individual
JESSICA STOCKTON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4640 MARTIN ROAD, CUMMING, GA 30041-5571
(678) 679-1261
Mailing address
1455 BLUFF VALLEY CIR, GAINESVILLE, GA 30504-6604
(404) 630-2200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006044
GA
Other
Enumeration date
09/29/2014
Last updated
04/26/2018
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