| NPI | 1467804534 |
|---|---|
| Former Name | NOELLE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213319) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27574) |
| 225100000X Physical Therapist (Licence: FL 31530) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2019-12-16 |