NPI 1124789136
Alicia Thornton
Practice location
- Address
- 103 Fox Chase Dr, Hattiesburg, MS 39402-2575
- Phone
- (601) 366-1081
- Fax
- (601) 607-1377
- Mailing address
- 711 Avignon Dr, Ridgeland, MS 39157-5120
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1124789136
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Jan 2022
- Record last updated
- 3 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.