Most Relevant Information
Provider Data
| NPI Number: | 1003429804 |
| Provider Name: | JOSHUA THOMPSON PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA012429 |
Most Important Dates
| Enumeration Date: | 08/31/2020 |
| Last Updated: | 08/31/2020 |
Provider Practice Location
6500 ROCKSIDE RD STE 160
INDEPENDENCE
OH
441312319
Practice Location Phone/Fax
| Phone: | 2164479704 |
| Fax: | 2164479708 |
Provider Mailing Location
6500 ROCKSIDE RD STE 160
INDEPENDENCE
OH
441312319
Provider Mailing Phone/Fax
| Phone: | 2164479704 |
| Fax: | 2164479708 |