Individual
AUBREY GLENN THOMPSON JR.
Active
Individual
AUBREY GLENN THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6104
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446652
—
TN
01
—
3156797
BCBST GROUP #
TN
01
—
P00626473
RAILROAD
TN
Enumeration date
04/14/2008
Last updated
04/05/2019
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