Individual
CASSIDY N THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2200 FOWLER GROVE BLVD STE 40, WINTER GARDEN, FL 34787-5597
(407) 614-0575
(407) 654-0985
Mailing address
334 COURTNEY SPRINGS CIR, WINTER SPRINGS, FL 32708-6336
(479) 799-7449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29559
FL
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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