Individual
CYNRONICA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
Mailing address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
OT 10302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001444000
—
FL
05
—
001788400
—
FL
Enumeration date
11/30/2006
Last updated
09/12/2011
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