Individual
MARK LEE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
403 2ND AVE STE 101, OPELIKA, AL 36801-4382
(334) 741-4041
Mailing address
220 KIMBERLY DR, AUBURN, AL 36832-6714
(334) 887-9561
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2438
AL
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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