| NPI | 1225149974 |
|---|---|
| Former Name | CARRIE LYNN THOMPSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PT 9975) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6547) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-10-13 |