Individual
BERNADETTE THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 ROLLING MEADOWS RD, MIDDLETOWN, NY 10940-2609
(845) 343-5697
Mailing address
87 ROLLING MEADOWS RD, MIDDLETOWN, NY 10940-2609
(845) 343-5697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005935
NY
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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