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Individual

MRS. BARBARA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 HERTEL AVE STE 101, BUFFALO, NY 14207-1906
(716) 566-5050
Mailing address
2128 ELMWOOD AVE, BUFFALO, NY 14207-1910
(716) 874-4500

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
225200000X
Physical Therapy Assistant
Primary
009965
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01465154
NY
Enumeration date
06/29/2015
Last updated
08/18/2023
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