| NPI | 1811353725 |
|---|---|
| Former Name | JAMIE DAWN THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014633) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK PT5082) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2019-01-23 |