Individual
GRACE ISABEL ELLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 LIBRARY BLVD STE A, GREENWOOD, IN 46142-1567
(317) 881-9923
Mailing address
1221 BRANDT DR, INDIANAPOLIS, IN 46241-3003
(812) 606-8321
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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