Individual
KELLY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10043 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4856
(804) 560-5430
(804) 230-2308
Mailing address
9100 BON AIR CROSSINGS DRIVE, THE CROSSINGS AT BON AIR, RICHMOND, VA 23235-0000
(804) 320-2310
(804) 230-2308
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603970
VA
Other
Enumeration date
02/05/2015
Last updated
12/03/2020
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