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Michelle Marie Thornton, M. Ed

Developmental Therapist in Titusville, FL. Individual provider (NPI-1).

NPI number1669930749
StatusActive
Last updated in NPPESMar 7, 2019

Details

NPI
1669930749
Entity type
Individual (NPI-1)
Name
Mrs. Michelle Marie Thornton
Credential
M. Ed
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 7, 2019
Last updated
Mar 7, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

3210 Treetop Dr
Titusville, FL 32780-4808

Phone 321-258-4019

Mailing address

3210 Treetop Dr
Titusville, FL 32780-4808

Phone 321-258-4019

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