Individual
DEBORAH G THISTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7641 MONTERAY CIR, AVON, IN 46123-7795
(317) 319-6011
Mailing address
7641 MONTERAY CIR, AVON, IN 46123-7795
(317) 319-6011
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1069728
IN
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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