ANDREA THORESON

FOUNTAIN INN, SC
NPI1124675830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  3732)
Enumeration Date2019-08-19
Last Update Date2019-08-19
Business Address
ANDREA THORESON COTA/L
204 SHADY PINES CT
FOUNTAIN INN, SC 29644-9785
Phone number: 864-408-9509
Mailing Address
ANDREA THORESON COTA/L
PO BOX 1312
FOUNTAIN INN, SC 29644-1054
Phone number: 864-408-9509
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