Individual
CARLY MARIE THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
4319 NW URBANDALE DR, URBANDALE, IA 50322-7910
(515) 225-4070
Mailing address
4319 NW URBANDALE DR, URBANDALE, IA 50322-7910
(515) 225-4070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110131
IA
Other
Enumeration date
08/10/2021
Last updated
06/09/2023
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