Provider Demographics
NPI:1770662272
Name:THOMPSON, PAMELA L (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:L
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:1364 AMERICAN WAY VILLAGE
Mailing Address - Street 2:HEARTLAND REHABILITATION SERVICES OF VIRGINIA INC
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523
Mailing Address - Country:US
Mailing Address - Phone:540-587-5582
Mailing Address - Fax:540-587-0249
Practice Address - Street 1:1364 AMERICAN WAY VILLAGE
Practice Address - Street 2:HEARTLAND REHABILITATION SERVICES OF VIRGINIA INC
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523
Practice Address - Country:US
Practice Address - Phone:540-587-5582
Practice Address - Fax:540-587-0249
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA2305002661225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist