Individual
ANDREW THIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-8910
Mailing address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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