Individual
ELIZABETH THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
831 PINE BEACH RD, MARINETTE, WI 54143-4225
(715) 732-5796
Mailing address
245 S FRANKLIN ST, OCONTO FALLS, WI 54154-1426
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
173-27
WI
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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