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Individual

ALYSSA RAE THIELMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1029 BRUSH HILL CIR, JOLIET, IL 60432-0807
(708) 768-4104
Mailing address
1029 BRUSH HILL CIR, JOLIET, IL 60432-0807
(708) 768-4104

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013399
IL

Other

Enumeration date
12/20/2019
Last updated
12/20/2019
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