Individual
JASON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 BERRY ST, BROOKLYN, NY 11249-3114
(646) 875-8348
Mailing address
277 WASHINGTON AVE APT 6D, BROOKLYN, NY 11205-4242
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
047800
NY
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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