Individual
LAUREN TIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4925 JACKMAN RD, UNIT 34, TOLEDO, OH 43613-3574
(567) 318-1000
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.014804
OH
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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