Individual
JESSICA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7701 E. 121ST, BIXBY, OK 74008
(918) 409-8205
Mailing address
7701 E. 121ST, BIXBY, OK 74008
(918) 409-8205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2883
OK
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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