Individual
MAUREEN KATHRYN THIELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1520 MAHTOMEDI AVE, MAHTOMEDI, MN 55115-1907
(651) 407-2109
Mailing address
1520 MAHTOMEDI AVE, MAHTOMEDI, MN 55115-1907
(651) 407-2109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5680
MN
Other
Enumeration date
04/04/2019
Last updated
03/31/2026
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