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NPI Code Detail

MEDICARE: DR. SARAH THOMPSON PT, DPT

MEDICARE: DR. SARAH THOMPSON PT, DPT
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 Therapist

General Provider Information

NPI Number : 1568066975
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH THOMPSON PT, DPT
Provider Business Mailing Address
First Line : 20952 E 12 MILE RD STE 110
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48081-3202
Country : US
Telephone Number : 586-498-3500
Fax Number :
Provider Business Practice Location Address
First Line : 20952 E 12 MILE RD STE 110
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48081-3202
Country : US
Telephone Number : 586-498-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2020
Last Update Date : 11/25/2020

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Directions to “ DR. SARAH THOMPSON PT, DPT” Practice Location

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