Individual
JULIA ROSE THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 S MAIN ST, FORKED RIVER, NJ 08731-4654
(609) 971-3545
Mailing address
40 DIXONTOWN RD, MEDFORD, NJ 08055-9770
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00926600
NJ
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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