Individual
JOAN THIEL
Active
Individual
JOAN THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OT000091
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT000091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000758744A
—
GA
05
—
10037769
—
GA
05
—
306062
—
GA
Enumeration date
11/30/2006
Last updated
10/05/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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