Individual
MS. DIANE L THOMPSON WILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
409 N STEWARTS LANE, WILDERNESS TRACE CHILD DEV CENTER, DANVILLE, KY 40422-1423
(859) 236-0878
(859) 236-0878
Mailing address
421 W LEXINGTON AVENUE, DANVILLE, KY 40422-1423
(859) 583-4536
(859) 236-8537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001268
KY
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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