Individual
BROOKE THATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11177 LAMBS LN, NEWARK, OH 43055-9779
(740) 763-0408
(740) 763-0475
Mailing address
11177 LAMBS LN, NEWARK, OH 43055-9779
(740) 763-0408
(740) 763-0475
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006953
OH
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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