Individual
DONALD THORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
951 WATERBURY FALLS DR, O FALLON, MO 63368-2202
(636) 336-0297
Mailing address
600 OAKMONT LN, STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2016017355
IL
Other
Enumeration date
05/23/2016
Last updated
07/14/2020
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