NPI 1427272103

Mary Jo Theis, COTA

Practitioner Occupational Therapy Assistant Coon Rapids, MN

Practice location

Address: 300 Coon Rapids Blvd NW, Coon Rapids, MN 55433-5643
Phone: (763) 767-0854
Mailing address: 12912 van Buren St NE, Blaine, MN 55434-3258

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 200265 (MN)

Other Occupational Therapy Assistant providers in Minnesota →

Registry record

NPI: 1427272103
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.