Individual
CARRIE LORRAINE THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
23293 S POINTE DR, LAGUNA HILLS, CA 92653-1447
(949) 770-5843
Mailing address
22342 CAMINITO DANUBO, LAGUNA HILLS, CA 92653-1165
(949) 609-0329
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
COTA223
CA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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