MISS Chiquita Nicole Thompson, D.T.

NPI #1376803056 in Park Forest, Illinois

Provider Information

NPI Number: 1376803056
Entity Type: Individual
Name: MISS Chiquita Nicole Thompson, D.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Credential: D.T.
Enumeration Date: May 29, 2012
Last Updated: May 29, 2012

Practice Location

Address: 256 GREEN ST
City: Park Forest
State: Illinois
ZIP Code: 60466-1610
Phone: (708) 747-0447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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