| NPI | 1114136876 |
|---|---|
| Former Name | MICHELE DAWN THORNTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH pt-0010733) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH at-002016) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |