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Individual

BAILEY TAMMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1731 HENRY LUCKOW LN, BELVIDERE, IL 61008
(815) 544-6967
(815) 544-6984
Mailing address
1969 WEST HART RD, BELOIT, WI 53511-2283
(630) 575-6250

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.023741
IL
225100000X
Physical Therapist
070023741
IL
225100000X
Physical Therapist
Primary
15385-24
WI

Other

Enumeration date
06/13/2018
Last updated
08/31/2021
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