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Individual

JOSEY GOLDNER THORESON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1014 FORSYTH ST, MACON, GA 31201-2051
(478) 633-2742
(478) 633-7552
Mailing address
1014 FORSYTH ST, MACON, GA 31201-2102
(478) 633-2742
(478) 633-7552

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT006679
GA

Other

Enumeration date
03/17/2017
Last updated
01/24/2019
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