Individual
CARLY NICOLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
637 TIFFANY TRL, RICHARDSON, TX 75081-5619
(214) 699-9238
Mailing address
637 TIFFANY TRL, RICHARDSON, TX 75081-5619
(812) 243-0646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1302930
TX
Other
Enumeration date
03/21/2019
Last updated
01/18/2025
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