Doctor Name: | MRS. JILL SUSANNE THOMPSON |
NPI Number: | 1043439540 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 2305204237 |
Business Practice Address: | 4316 Brambleton Ave Roanoke, VA - 240183405 |
Business Phone Number: | 5409891777 |
Business Fax Number: | 5409890222 |
Mailing Address: | 1901 S Main St, Suite 8 BLACKSBURG |
State: | VA |
Postal Code: | 240606600 |
Phone Number: | 5405523422 |
Fax Number: | 5405522296 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305204237 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |