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NPI Code Detail

MEDICARE: ABBY LEANN THOMPSON OTR/L

MEDICARE: ABBY LEANN THOMPSON OTR/L
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
1225X00000XOccupational Therapist17-0828NV

General Provider Information

NPI Number : 1942983507
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBY LEANN THOMPSON OTR/L
Provider Business Mailing Address
First Line : 7609 CURIOSITY AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-4791
Country : US
Telephone Number : 765-242-5881
Fax Number :
Provider Business Practice Location Address
First Line : 3100 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0436
Country : US
Telephone Number : 765-242-5881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2023
Last Update Date : 08/10/2023

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