Most Relevant Information
Provider Data
| NPI Number: | 1003176918 |
| Provider Name: | ALLISON DONNA RUTH THOMPSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 9692A |
Most Important Dates
| Enumeration Date: | 05/24/2012 |
| Last Updated: | 01/16/2013 |
Provider Practice Location
5171 CUB LAKE RD STE 310
SHOW LOW
AZ
859017888
Practice Location Phone/Fax
| Phone: | 9285370248 |
| Fax: |
Provider Mailing Location
2244 MAZATZAL
SHOW LOW
AZ
859017042
Provider Mailing Phone/Fax
| Phone: | 9287136311 |
| Fax: |