Alicia Thornton
Occupational Therapist in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1124789136
StatusActive
Last updated in NPPESJan 3, 2022
Details
- NPI
- 1124789136
- Entity type
- Individual (NPI-1)
- Name
- Alicia Thornton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2022
- Certification date
- Jan 3, 2022
- Last updated
- Jan 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT2074 | MS | Yes |
Other names
- Alicia Eder (Former Name)
Practice location
103 Fox Chase DrHattiesburg, MS 39402-2575
Phone 601-366-1081 · Fax 601-607-1377
Mailing address
711 Avignon DrRidgeland, MS 39157-5120
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All 34 Occupational Therapist providers in Hattiesburg · All 3,372 providers in Hattiesburg
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