Individual
CRYSTAL ROSE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HOLLY AVE, SHALIMAR, FL 32579-1158
(850) 651-2635
Mailing address
3959 UNION RD, FLORALA, AL 36442-7347
(133) 448-8699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18249
FL
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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