Individual
MOLLY MARIE THORNBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
168 ROSEWOOD ST, SPARTANBURG, SC 29303-3930
(864) 573-7548
Mailing address
168 ROSEWOOD ST, SPARTANBURG, SC 29303-3930
(864) 573-7548
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3076
SC
Other
Enumeration date
10/13/2007
Last updated
10/13/2007
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