Individual
JACQUELINE ELAINE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6025 SPORTS VILLAGE RD, FRISCO, TX 75033-3505
(214) 687-9374
Mailing address
6025 SPORTS VILLAGE RD, FRISCO, TX 75033-3505
(214) 687-9374
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119673
TX
Other
Enumeration date
09/06/2019
Last updated
10/23/2020
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