Individual provider · Type 1 NPI

Nicole Kristine Thompson, DT, OTD, CBIS

Developmental Therapist · Fort Wayne, IN

NPI number 1053978031 Active

Practice location

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

Call (260) 266-4010 Map

Mailing address

2626 Saint Joe Center Rd
Fort Wayne, IN 46825-5042

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X31007764A (IN)
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1053978031

Nicole Kristine Thompson, DT, OTD, CBIS's National Provider Identifier is 1053978031, issued on May 24, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Fort Wayne, IN. The record was last updated on May 8, 2023.