Individual
THERESA LYNN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31878 CIRCLE DR, MC ARTHUR, OH 45651-8406
(740) 988-0347
Mailing address
25868 CREOLA HUE RD, CREOLA, OH 45622-8974
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311706
—
OH
Enumeration date
12/22/2020
Last updated
12/22/2020
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