Theis, Mary Jo

Theis, Mary Jo is an individual health care provider with primary practice located at 300 Coon Rapids Blvd Nw , Coon Rapids MN 55433-5643. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Theis, Mary Jo can be contacted via phone (763) 767-0854.

Contact Information

Primary practice address
300 Coon Rapids Blvd Nw Coon Rapids MN 55433-5643
Phone: (763) 767-0854
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 200265 Minnesota

Profile Details

NPI number 1427272103
LBN Legal business name Theis, Mary Jo
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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