Individual
MS. PAULA L THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
264 ARROWOOD RD, MARBLE, NC 28905-8565
(508) 255-1640
Mailing address
264 ARROWOOD RD, MARBLE, NC 28905-8565
(508) 255-1640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
2963
MA
225X00000X
Occupational Therapist
Primary
7761
NC
225X00000X
Occupational Therapist
8720
MA
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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