Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 118556 | TX |
Y | 225X00000X | Occupational Therapist | OT15713 | CA |
NPI | 1003329327 |
---|---|
Provider Name | Paige N Thorne |
First Address | Anchorage, AK 99508-4680 |
Second Address | Anchorage, AK 99508-4680 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2017 |
Last Update Date | 03/08/2020 |