Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 13185 | NC |
N | 225100000X | Physical Therapist | 40193 | CA |
N | 225100000X | Physical Therapist | 7461 | AZ |
N | 2251S0007X | Physical Therapist - Sports | ||
N | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1164647467 |
---|---|
Provider Name | Mrs. Darcey A Thompson |
First Address | Antioch, CA 94509-4004 |
Second Address | Antioch, CA 94509-4004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 22/08/2013 |