Individual
MRS. HOLLY SHANNON THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3345 S HARVARD AVE, SUITE 101, TULSA, OK 74135-1812
(918) 743-3737
(918) 743-8833
Mailing address
3007 S BOSTON CT, TULSA, OK 74114-5216
(918) 293-0631
(918) 293-0631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2788
OK
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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