Individual
HEATHER THIELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
25440 LAWTON AVE, LOMA LINDA, CA 92354-3692
(707) 484-3631
Mailing address
25440 LAWTON AVE, LOMA LINDA, CA 92354-3692
(707) 484-3631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14442
CA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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