Individual
MRS. JESSICA DIAN THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
704 E DOBKINS ST, DUBLIN, TX 76446-2419
(254) 216-1310
Mailing address
1419 CR 616, HAMILTON, TX 76531
(254) 216-1310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214654
TX
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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