LIONEL THOMPSON

RACINE, WI
NPI1114306214
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  515527)
Enumeration Date2015-05-21
Last Update Date2015-05-21
Business Address
-- LIONEL THOMPSON COTA
6101 16TH ST
RACINE, WI 53406-4467
Phone number: 262-898-2712
Mailing Address
-- LIONEL THOMPSON COTA
6101 16TH ST
RACINE, WI 53406-4467
Phone number: 262-898-2712