Individual
DOMINIQUE THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 E ASH ST, HUNTINGTON, TX 75949-8648
(936) 422-4083
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209721
TX
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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