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Individual

GENE THAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7444 UNBRIDLE WAY APT 203, CORDOVA, TN 38016-2612
(251) 644-1332
Mailing address
7444 UNBRIDLE WAY APT 203, CORDOVA, TN 38016-2612
(251) 644-1332

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
80616
AL

Other

Enumeration date
10/27/2021
Last updated
10/27/2021
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