Individual
MRS. MICHELLE MARIE THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED
Contact information
Practice address
3210 TREETOP DR, TITUSVILLE, FL 32780-4808
(321) 258-4019
Mailing address
3210 TREETOP DR, TITUSVILLE, FL 32780-4808
(321) 258-4019
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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