Individual
DANA THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11808 GRANT STREET, SUITE 100, OMAHA, NE 68164
(877) 230-3885
Mailing address
HC 1 BOX 2, LEOPOLD, MO 63760-9701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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