Individual
MISS TYNETTE MARIE THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 OVERHILL DR, SUITE 101, MOORESVILLE, NC 28117-7021
(704) 799-6824
Mailing address
137 OVERHILL DR, SUITE 101, MOORESVILLE, NC 28117-7021
(704) 799-6824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7354
NC
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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