EMILY THACKER

PORT ORANGE, FL
NPI1164949236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60568817)
Enumeration Date2017-08-29
Last Update Date2017-08-29
Business Address
EMILY THACKER
5535 S WILLIAMSON BLVD
PORT ORANGE, FL 32128-8311
Phone number: 888-265-2680
Mailing Address
EMILY THACKER
826 NE ROSELAWN ST
PORTLAND, OR 97211-3833
Phone number: