CARISSA MAE THELEN

TRAVERSE CITY, MI
NPI1689258139
Former NameCARISSA MAE KUCHENBERG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201013761)
Enumeration Date2021-05-11
Last Update Date2024-08-29
Business Address
CARISSA MAE THELEN OTRL
701 W FRONT ST
TRAVERSE CITY, MI 49684-2287
Phone number: 231-935-0800
Mailing Address
CARISSA MAE THELEN OTRL
10670 E PICO DR
TRAVERSE CITY, MI 49684-5382
Phone number: 906-241-3521