Individual
BRANDI M THORWARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2420 WILSON AVE, MADISON, IN 47250-2135
(501) 802-5479
Mailing address
10223 E STATE ROAD 156, VEVAY, IN 47043-2837
(501) 802-5479
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31007908A
IN
225XP0200X
Pediatric Occupational Therapist
OTR1461
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136478721
—
AR
Enumeration date
06/04/2010
Last updated
08/15/2023
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