MR. Tyrone Tejam

NPI #1306354865 in Dixon, Illinois

Provider Information

NPI Number: 1306354865
Entity Type: Individual
Name: MR. Tyrone Tejam
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jan 18, 2018
Last Updated: Jan 18, 2018

Practice Location

Address: 510 E FELLOWS ST APT 2
City: Dixon
State: Illinois
ZIP Code: 61021-2262
Phone: (312) 442-2650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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