Individual
MRS. JESSICA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12127 HIGHWAY 14 N, CEDAR CREST, NM 87008-9461
(505) 286-3678
Mailing address
12127 HIGHWAY 14 N, CEDAR CREST, NM 87008-9461
(505) 286-3678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1405
NM
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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