Individual
MR. LLEWELLYN THOMPSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
395 OYSTER POINT BLVD, SUITE 202, SOUTH SAN FRANCISCO, CA 94080-1928
(866) 758-4700
(866) 758-4711
Mailing address
717 GRAND VIEW AVE, SAN FRANCISCO, CA 94114-3509
(954) 579-3081
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9680
CA
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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