Individual
ALLISON CHESHIRE THOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, OTR/L, ATC, LAT
Contact information
Practice address
475 S MAIN ST, HINESVILLE, GA 31313-4312
(912) 368-4131
Mailing address
404 WOOD DALE DR, HINESVILLE, GA 31313-3352
(912) 690-4344
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT003254
GA
225X00000X
Occupational Therapist
Primary
OT007492
GA
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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