MR. Fred Andrew Thiesen, COTA
NPI #1245359157 in Califon, New Jersey
Provider Information
- NPI Number
- 1245359157
- Entity Type
- Individual
- Name
- MR. Fred Andrew Thiesen, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 47 ACADEMY ST
- City
- Califon
- State
- New Jersey
- ZIP Code
- 07830-4354
- Phone
- (908) 832-1306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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