Individual
MRS. ASHLEE M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
216 COUNTY ROUTE 64, MEXICO, NY 13114-3229
(315) 963-0864
Mailing address
19472 US ROUTE 11, WATERTOWN, NY 13601-5387
(315) 963-0864
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
021615-1
NY
Other
Enumeration date
08/01/2017
Last updated
11/13/2019
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