Individual
REBECCA CHRISTINE THIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
33600 W 85TH ST, DE SOTO, KS 66018-8118
(913) 853-1225
Mailing address
1624 N SUNSET DR, OLATHE, KS 66061-7102
(913) 526-7470
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T-03296
KS
Other
Enumeration date
06/09/2012
Last updated
06/09/2012
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