Individual
MRS. CARRIE LEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
150 N MILLER RD STE 150A, FAIRLAWN, OH 44333-3713
(330) 630-1860
(330) 630-3198
Mailing address
81 CHEYENNE DR, RITTMAN, OH 44270-1289
(330) 607-4237
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT010631
OH
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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