Individual
MISS KRISTEN NICOLE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3800 SHAMROCK DR, CHARLOTTE, NC 28215-3220
(704) 532-7000
Mailing address
10726 ROXBURY CT, CHARLOTTE, NC 28214-8628
(704) 349-1027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6023
NC
Other
Enumeration date
03/05/2017
Last updated
03/05/2017
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