Individual
ELAINE GRAY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
11430 RIVER RUN DR, GLEN ALLEN, VA 23059-5106
(804) 264-1063
(802) 497-5992
Mailing address
11430 RIVER RUN DR, GLEN ALLEN, VA 23059-5106
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001344
VA
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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