Provider Demographics
NPI:1760659916
Name:THOMPSON, MARCIA JEANNE (PT, DPT, DSC)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:JEANNE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PT, DPT, DSC
Other - Prefix:MS
Other - First Name:MARCIA
Other - Middle Name:JEANNE
Other - Last Name:HALL THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, DSC
Mailing Address - Street 1:600 PARK AVE
Mailing Address - Street 2:PO BOX 427
Mailing Address - City:MARION HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:17832
Mailing Address - Country:US
Mailing Address - Phone:570-373-3300
Mailing Address - Fax:570-373-3363
Practice Address - Street 1:600 PARK AVE
Practice Address - Street 2:
Practice Address - City:MARION HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:17832
Practice Address - Country:US
Practice Address - Phone:570-373-3300
Practice Address - Fax:570-373-3363
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005302L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist