Provider Demographics
NPI:1154951952
Name:THRIVE OCCUPATIONAL THERAPY, HEALTH & WELLNESS PLLC
Entity type:Organization
Organization Name:THRIVE OCCUPATIONAL THERAPY, HEALTH & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:DAWN GRONAU
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-284-1583
Mailing Address - Street 1:3012 COUNTRY CLUB PKWY
Mailing Address - Street 2:
Mailing Address - City:HARLAN
Mailing Address - State:IA
Mailing Address - Zip Code:51537-2409
Mailing Address - Country:US
Mailing Address - Phone:316-284-1583
Mailing Address - Fax:
Practice Address - Street 1:1205 7TH ST
Practice Address - Street 2:
Practice Address - City:HARLAN
Practice Address - State:IA
Practice Address - Zip Code:51537-1756
Practice Address - Country:US
Practice Address - Phone:316-284-1583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty