Individual
DENISE THORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 HALIIMAILE LN, BASTROP, TX 78602-5907
(512) 663-7119
Mailing address
117 HALIIMAILE LN, BASTROP, TX 78602-5907
(512) 663-7119
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2027688
TX
Other
Enumeration date
12/27/2014
Last updated
12/27/2014
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