Individual
MRS. MICKIE ANN THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6320 W UNION HILLS DR STE A265, GLENDALE, AZ 85308-1098
(623) 374-2424
Mailing address
6737 E EVANS DR, SCOTTSDALE, AZ 85254-3490
(623) 203-9199
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7961A
AZ
Other
Enumeration date
03/27/2008
Last updated
03/26/2014
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