Provider Demographics
NPI:1386997419
Name:THOMPSON, MARGARET (EDD, ATC, VATL)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:EDD, ATC, VATL
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:FREDERICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDD, ATC, VATL
Mailing Address - Street 1:4809 LEONARD PKWY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1339
Mailing Address - Country:US
Mailing Address - Phone:804-562-4835
Mailing Address - Fax:
Practice Address - Street 1:4809 LEONARD PKWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1339
Practice Address - Country:US
Practice Address - Phone:804-562-4835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260002902255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer