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Anna Thompson

Physical Therapy Assistant in Fort Gay, WV. Individual provider (NPI-1).

NPI number1609596808
StatusActive
Last updated in NPPESAug 30, 2022

Details

NPI
1609596808
Entity type
Individual (NPI-1)
Name
Anna Thompson
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2022
Certification date
Aug 23, 2022
Last updated
Aug 30, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant001854WVYes

Practice location

220 Paddle Creek Rd
Fort Gay, WV 25514-7377

Phone 304-544-3506

Mailing address

220 Paddle Creek Rd
Fort Gay, WV 25514-7377

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