Wallace Lee Thompson
NPI #1306333422 in Bradford, Pennsylvania
Provider Information
- NPI Number
- 1306333422
- Entity Type
- Individual
- Name
- Wallace Lee Thompson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Apr 14, 2018
- Last Updated
- Apr 14, 2018
Practice Location
- Address
- 100 SAINT FRANCIS DR
- City
- Bradford
- State
- Pennsylvania
- ZIP Code
- 16701-1868
- Phone
- (814) 688-1531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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