Individual
MRS. KIMBERLY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5423 HAMILTON WOLFE RD, SAN ANTONIO, TX 78229-4344
(210) 694-9494
Mailing address
1A C ST W, UNIVERSAL CITY, TX 78148-5409
(843) 327-3543
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213602
TX
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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