Individual
MRS. PATRICE ELIZABETH THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2404 DIFFEE DR, TAHLEQUAH, OK 74464-5722
(918) 431-1624
Mailing address
2404 DIFFEE DR, TAHLEQUAH, OK 74464-5722
(918) 431-1624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2901
OK
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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