Doctor Name: | HEATHER MICHELLE THOMPSON |
NPI Number: | 1053656090 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 111155 |
Business Practice Address: | 5034 New Forest St 8309 San Antonio, TX - 782295459 |
Business Phone Number: | 2102815401 |
Business Fax Number: | |
Mailing Address: | 5919 Walnut Mill Dr, SAN ANTONIO |
State: | TX |
Postal Code: | 782442509 |
Phone Number: | 4106934819 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2012 |
NPI Last Update Date: | 12/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 111155 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |