Individual
MRS. ELIZABETH REE THELE
Active
Individual
MRS. ELIZABETH REE THELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2013021046
MO
225X00000X
Occupational Therapist
R4294
KY
Other
Enumeration date
10/15/2009
Last updated
02/12/2015
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