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Alicia Yvonne Thieman, OTR/L

Occupational Therapist in Columbus, IN. Individual provider (NPI-1).

NPI number1124350004
StatusActive
Last updated in NPPESAug 20, 2019

Details

NPI
1124350004
Entity type
Individual (NPI-1)
Name
Alicia Yvonne Thieman
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Feb 3, 2010
Last updated
Aug 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist31004450AINYes
225X00000X Occupational Therapist056008776IL

Practice location

1639 N National Rd
Columbus, IN 47201-5579

Phone 812-669-1687 · Fax 812-775-1035

Mailing address

600 Oakmont Ln Ste 600c
Westmont, IL 60559-5548

Phone 630-575-6250

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