Individual
MRS. REBECCA SUE THIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1373 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1767
(618) 208-2784
(866) 302-7487
Mailing address
1373 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1767
(618) 208-2784
(866) 302-7487
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.001101
IL
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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