Healthcare Provider Details

I. General information

NPI: 1952351058
Provider Name (Legal Business Name): MARIA ESTHER THOMPSON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA ESTHER VELAZQUEZ PT

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 05/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 S HOWARD AVE
TAMPA FL
33606-2413
US

IV. Provider business mailing address

38135 MARKET SQ
ZEPHYRHILLS FL
33542-7505
US

V. Phone/Fax

Practice location:
  • Phone: 813-253-2406
  • Fax: 813-251-4290
Mailing address:
  • Phone: 813-528-4975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT19008
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: