Individual
BRIAN CHRISTOPHER THIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS OTRL
Contact information
Practice address
3104 E INDIAN SCHOOL RD, SUITE 200, PHOENIX, AZ 85016-6889
(602) 224-9891
(602) 224-9808
Mailing address
9097 E DESERT COVE AVE, SUITE 110, SCOTTSDALE, AZ 85260-6279
(480) 860-4298
(480) 860-0356
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
3066
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00390142
RAILROAD MEDICARE PTAN
AZ
Enumeration date
05/20/2006
Last updated
02/18/2014
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