Individual
KYLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
1401 HALSTEAD AVE, NORFOLK, VA 23502-2003
(757) 857-0481
Mailing address
1401 HALSTEAD AVE, NORFOLK, VA 23502-2003
(757) 857-0481
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605162
VA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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