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Madeline Grace Thueson, OTR/L

Occupational Therapist in Surprise, AZ. Individual provider (NPI-1).

NPI number1164093266
StatusActive
Last updated in NPPESJul 8, 2021

Details

NPI
1164093266
Entity type
Individual (NPI-1)
Name
Madeline Grace Thueson
Credential
OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 8, 2021
Certification date
Jul 8, 2021
Last updated
Jul 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOTH-007437AZYes

Practice location

18510 N Parkview Pl
Surprise, AZ 85374-4294

Phone 623-244-4482

Mailing address

14722 W Laurel Ln
Surprise, AZ 85379-6309

Phone 708-220-2230

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