Provider Demographics
NPI:1164503041
Name:THOMSON, CAROLINE FRANCES (PT)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:FRANCES
Last Name:THOMSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31975 LODGE RD
Mailing Address - Street 2:
Mailing Address - City:AUBERRY
Mailing Address - State:CA
Mailing Address - Zip Code:93602-9753
Mailing Address - Country:US
Mailing Address - Phone:559-855-8840
Mailing Address - Fax:559-855-8178
Practice Address - Street 1:31975 LODGE RD
Practice Address - Street 2:
Practice Address - City:AUBERRY
Practice Address - State:CA
Practice Address - Zip Code:93602-9753
Practice Address - Country:US
Practice Address - Phone:559-855-8840
Practice Address - Fax:559-855-8178
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2015-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 13992225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA77-0309513OtherTAX I.D.