Individual
ERICA THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(870) 635-1182
Mailing address
413 BIRDIE DR APT 4, MARION, AR 72364-1658
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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