Individual
MRS. MICHELE RENE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
305 MARCELLA RD, HAMPTON, VA 23666-2433
(757) 827-8953
Mailing address
1632 7TH AVE, A, HAMPTON, VA 23665-1702
(757) 251-7631
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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