Individual
MRS. ALLISON CHACE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2182
Mailing address
8540 N 42ND ST, BROWN DEER, WI 53209-1330
(920) 254-2838
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3520-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41056400
—
WI
Enumeration date
10/15/2007
Last updated
03/28/2012
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