Individual
MAKENSIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 JOHNS CREEK CT, SUITE 250, SUWANEE, GA 30024-1224
(770) 888-5221
(678) 680-5929
Mailing address
3905 JOHNS CREEK CT, SUITE 250, SUWANEE, GA 30024-1224
(770) 888-5221
(678) 680-5929
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006328
GA
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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