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Individual

LACEY R THIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
510 11TH AVE, DETROIT LAKES, MN 56501-2800
(218) 847-1106
Mailing address
702 LAKE AVE, DETROIT LAKES, MN 56501-3016
(218) 844-4173

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT103291
MN

Other

Enumeration date
12/23/2025
Last updated
12/23/2025
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