Individual
MR. JONATHAN WADE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
500 E CENTRAL AVE, WINTER HAVEN, FL 33880-3053
(863) 293-1191
Mailing address
500 E CENTRAL AVE, WINTER HAVEN, FL 33880-3053
(863) 293-1191
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT16758
FL
Other
Enumeration date
08/09/2007
Last updated
02/10/2010
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