Individual
MRS. MARY GUYTON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2350 LEN CIR NW, HARTSELLE, AL 35640-7769
(256) 751-3528
Mailing address
2350 LEN CIR NW, HARTSELLE, AL 35640-7769
(256) 751-3528
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4696
AL
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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