Individual
MR. MARCUS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12100 PRINCELAND SPUR, ASHLAND, KY 41102-7883
(606) 928-2963
Mailing address
2316 S 10TH ST, IRONTON, OH 45638-2568
(740) 357-4300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A3195
KY
224Z00000X
Occupational Therapy Assistant
OTA.03191
OH
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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