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Individual

ELYSIA TIEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
4264 N CYPRESS LN STE 103, BLOOMINGTON, IN 47404-8520
(812) 727-7720
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011545A
IN
225100000X
Physical Therapist

Other

Enumeration date
07/08/2014
Last updated
04/16/2025
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