Individual
MRS. KIMBERLY SONKIN THRUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTRL CHT
Contact information
Practice address
410 ALBEMARLE SQ, CHARLOTTESVILLE, VA 22901-7400
(434) 817-4278
(434) 817-4279
Mailing address
PO BOX 1583, CHARLOTTESVILLE, VA 22902-1583
(434) 982-7794
(434) 982-7752
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0119002963
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010349087
—
VA
01
—
P00377986
MEDICARE PIN
VA
Enumeration date
04/05/2006
Last updated
08/21/2008
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