NICOLE KRISTINE THOMPSON

FORT WAYNE, IN
NPI1053978031
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Additional Taxonomies225X00000X Occupational Therapist
(Licence: IN  31007764A)
Enumeration Date2019-05-24
Last Update Date2023-05-08
Business Address
NICOLE KRISTINE THOMPSON DT, OTD, CBIS
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-4010
Mailing Address
NICOLE KRISTINE THOMPSON DT, OTD, CBIS
2626 SAINT JOE CENTER RD
FORT WAYNE, IN 46825-5042
Phone number: 260-497-0328