Individual
JENNIFER LYNN THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-3201
Mailing address
1850 ZEPHYR PL, GOLDEN VALLEY, MN 55422-4254
(763) 522-6017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102803
MN
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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