Provider Demographics
NPI:1033317763
Name:THOMPSON, CECILIA VICTORIA
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:VICTORIA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 E ORCHARD RD STE 302
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1734
Mailing Address - Country:US
Mailing Address - Phone:303-902-0060
Mailing Address - Fax:
Practice Address - Street 1:7120 E ORCHARD RD STE 302
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-1734
Practice Address - Country:US
Practice Address - Phone:303-902-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
7641AMedicare UPIN