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NPI Code Detail

MEDICARE: GEORGE ALLEN THOMPSON JR.

MEDICARE:   GEORGE ALLEN THOMPSON JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT1870ME
2225100000XPhysical Therapist2305212105

General Provider Information

NPI Number : 1427531722
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE ALLEN THOMPSON JR.
Provider Business Mailing Address
First Line : 79 TARKILN HILL RD
Second Line :
City : RAYMOND
State : ME
Zip : 04071-6344
Country : US
Telephone Number : 404-399-4306
Fax Number :
Provider Business Practice Location Address
First Line : 6066 LEESBURG PIKE STE 900
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22041-2240
Country : US
Telephone Number : 703-820-2001
Fax Number : 703-575-7873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2018
Last Update Date : 10/21/2024

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Directions to “ GEORGE ALLEN THOMPSON JR. ” Practice Location

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