MARY JO THEIS

COON RAPIDS, MN
NPI1427272103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MN  200265)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
Mrs. MARY JO THEIS COTA
300 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433-5643
Phone number: 763-767-0854
Mailing Address
Mrs. MARY JO THEIS COTA
12912 VAN BUREN ST NE
BLAINE, MN 55434-3258
Phone number: 763-754-2346
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