Individual
CASEY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8080 NEW CUT RD, SEVERN, MD 21144-2301
(410) 969-9105
Mailing address
8080 NEW CUT RD, SEVERN, MD 21144-2301
(410) 969-9105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000232
MD
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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