Provider Demographics
NPI:1245416353
Name:THOMPSON, CYNTHIA P (PT)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:P
Last Name:THOMPSON
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 1:1715 SPINNING WHEEL DR
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-3349
Mailing Address - Country:US
Mailing Address - Phone:813-948-2699
Mailing Address - Fax:813-794-1591
Practice Address - Street 1:7227 LAND O LAKES BLVD
Practice Address - Street 2:DSBPC, ESE DEPT.
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-2826
Practice Address - Country:US
Practice Address - Phone:813-794-2600
Practice Address - Fax:813-794-2117
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 8058225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist