Individual
MELINDA M THORNBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2354 E RAWHIDE ST, GILBERT, AZ 85296-2732
(480) 231-2479
Mailing address
2354 E RAWHIDE ST, GILBERT, AZ 85296-2732
(480) 231-2479
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6998
AZ
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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