Individual
MATTHEW ROBERT THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8998
Mailing address
2810 RIDGECREST DR, GOLDSBORO, NC 27534-3401
(984) 422-2637
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11582
NC
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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