Individual
KELLY WINSLOW THIELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
5403 HOLLY RIDGE RD, GREENSBORO, NC 27455-1520
(919) 358-0400
Mailing address
5403 HOLLY RIDGE RD, GREENSBORO, NC 27455-1520
(919) 358-0400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7172
NC
224Z00000X
Occupational Therapy Assistant
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Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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