Individual
MR. TIMOTHY RYAN THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11330 N 94 E AVE, OWASSO, OK 74055
(918) 760-2209
Mailing address
11330 N 94TH EAST AVE, OWASSO, OK 74055-6536
(918) 760-2209
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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