AUDREY THELEN

LANSING, MI
NPI1063842946
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202007426)
Enumeration Date2013-11-14
Last Update Date2013-11-14
Business Address
-- AUDREY THELEN COTA/L
731 STARKWEATHER DR
LANSING, MI 48917-1128
Phone number: 517-323-9133
Mailing Address
-- AUDREY THELEN COTA/L
1041 W MAIN ST
GRAND LEDGE, MI 48837-1007
Phone number: 517-449-6872