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Individual

MRS. KATHERINE LEE THOMPSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
6717 E 2ND ST, STE D, PRESCOTT VALLEY, AZ 86314-2659
(928) 771-3560
(928) 771-3542
Mailing address
6717 E 2ND ST, STE D, PRESCOTT VALLEY, AZ 86314-2659
(928) 771-3560
(928) 771-3542

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2623
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
820078
AZ
Enumeration date
08/04/2005
Last updated
07/08/2007
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