Provider Demographics
NPI:1649449471
Name:THOMPSON, FELICITE H (CMF)
Entity type:Individual
Prefix:MR
First Name:FELICITE
Middle Name:H
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:CMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 NELSON HWY STE G
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7883
Mailing Address - Country:US
Mailing Address - Phone:919-419-7375
Mailing Address - Fax:919-419-2423
Practice Address - Street 1:2226 NELSON HWY STE G
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7883
Practice Address - Country:US
Practice Address - Phone:919-419-7375
Practice Address - Fax:919-419-2423
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC36402225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter