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Individual

STEPHEN WAYNE THORNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
5034 NEW FOREST ST, 8309, SAN ANTONIO, TX 78229-5459
(210) 281-5401
(210) 281-5401
Mailing address
1401 PATRICIA, 701, SAN ANTONIO, TX 78213-1161
(210) 639-7994

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209147
TX

Other

Enumeration date
09/19/2013
Last updated
09/19/2013
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