Individual
TAMI LEE THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
120 E. WALNUT STREET, INDIANAPOLIS, IN 46204-1312
(317) 226-4000
Mailing address
12037 EAGLEVIEW DR, ZIONSVILLE, IN 46077-4621
(602) 761-0325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31006571A
IN
225X00000X
Occupational Therapist
Primary
3317
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
893471
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
02/02/2007
Last updated
10/07/2024
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