Individual
JENNIFER THELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 WALDO AVE APT 104, PASADENA, CA 91101-3924
(248) 497-3388
Mailing address
425 WALDO AVE APT 104, PASADENA, CA 91101-3924
(248) 497-3388
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22984
CA
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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