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Individual

MS. JENNIFER L THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT/CHT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22232
MD
225100000X
Physical Therapist
Primary
J10001399
DE
225100000X
Physical Therapist
PT012717L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000037755
DE
01
2116451
MAMSI PROVIDER NUMBER
DE
01
2323901000
AMERIHEALTH
DE
01
P01038120
MEDICARE RAILROAD
DE
Enumeration date
06/22/2006
Last updated
06/27/2012
Update your record

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