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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. FRED ANDREW THIESEN, COTA

Active Sole Proprietor

MR. FRED ANDREW THIESEN, COTA is a Occupational Therapy Assistant healthcare provider located in CALIFON, New Jersey. NPI 1245359157 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · CALIFON, NJ

Registration Details

NPI Number
1245359157
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2007 (19.419058297004 yrs)
Last Updated
Jul 8, 2007
License
46TA09050700 (NJ)
Sole Proprietor
Yes

Practice Information

Address
47 ACADEMY ST
CALIFON, NJ, 078304354
Browse NJ providers · Browse ZIP 07830
Phone
9088321306
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.