Individual
KIMBERLY JANE THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Mailing address
5039 VILLA LINDE PKWY STE 30, FLINT, MI 48532-3450
(989) 401-1239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
5202009848
MI
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
11/21/2021
Last updated
03/19/2024
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