Individual
MRS. STACEY MARIE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
400 GROTON RD, AYER, MA 01432-1171
(978) 784-3536
Mailing address
400 GROTON RD, AYER, MA 01432-1171
(978) 784-3536
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3545
MA
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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