Individual
MARK L THURNBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
8650 HUDSON BLVD N, SUITE 310, LAKE ELMO, MN 55042-9747
(651) 702-6932
Mailing address
2399 ARIEL ST N, SUITE B, MAPLEWOOD, MN 55109-2203
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102797
MN
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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