Individual
ALICIA YVONNE THIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1639 N NATIONAL RD, COLUMBUS, IN 47201-5579
(812) 669-1687
(812) 775-1035
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056008776
IL
225X00000X
Occupational Therapist
Primary
31004450A
IN
Other
Enumeration date
02/03/2010
Last updated
08/20/2019
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