Individual
ELIZABETH DIANE THIELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
737 N HIGHWAY ST, OAKLAND, IA 51560-4532
(712) 482-6403
Mailing address
706 4TH ST, NEOLA, IA 51559-3054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001514
IA
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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