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Individual

SHARON ROSE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATC

Taxonomy

Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
083635
IA
225100000X
Physical Therapist
Primary
2200
SD

Other

Enumeration date
08/23/2019
Last updated
03/26/2020
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