Individual
MS. LENA THORESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3823 EAST STATE ROAD 64, BRADENTON, FL 34208
(941) 745-5111
(941) 745-5667
Mailing address
3823 EAST STATE ROAD 64, BRADENTON, FL 34208
(941) 745-5111
(941) 745-5667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 9305
FL
225X00000X
Occupational Therapist
Primary
OT9305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885301100
—
FL
Enumeration date
08/01/2006
Last updated
03/30/2023
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