THADEUS MIXON

CHICO, CA
NPI1366199465
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2022-03-08
Last Update Date2022-03-08
Business Address
THADEUS MIXON
2836 MARIGOLD AVE
CHICO, CA 95973-7624
Phone number: 607-377-2867
Mailing Address
THADEUS MIXON
746 OYSTER POINT DR
REEDVILLE, VA 22539-3605
Phone number: 607-377-2867