Individual
MICHELLE MARIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1729 2ND ST, RADFORD, VA 24141-1218
(540) 761-6108
Mailing address
1729 2ND ST, RADFORD, VA 24141-1218
(540) 761-6108
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000464
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131000464
VIRGINIA BOARD OF PROFESSIONAL SERVICES
VA
Enumeration date
08/25/2015
Last updated
04/12/2023
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