Thelen, Audrey

Thelen, Audrey is an sole proprietor health care provider with primary practice located at 731 Starkweather Dr , Lansing MI 48917-1128. 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. Thelen, Audrey can be contacted via phone (517) 323-9133.

Contact Information

Primary practice address
731 Starkweather Dr Lansing MI 48917-1128
Phone: (517) 323-9133
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 5202007426 Michigan

Profile Details

NPI number 1063842946
LBN Legal business name Thelen, Audrey
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2013
Last updated Nov 14th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063842946 NPPES
Michigan Other 5202007426 MICHIGAN OCCUPATIONAL THERAPY ASSISTANT LICENSE

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