Individual
MIA THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 DARLINGTON DR., CARY, NC 27513
(984) 299-6930
Mailing address
4213 PHILADELPHIA ST, RALEIGH, NC 27606-7410
(207) 228-4965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14946
NC
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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