Ty Elimon, MSED
NPI #1922388024 in Belleville, Illinois
Provider Information
- NPI Number
- 1922388024
- Entity Type
- Individual
- Name
- Ty Elimon, MSED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Credential
- MSED
- Enumeration Date
- Aug 19, 2011
- Last Updated
- Aug 19, 2011
Practice Location
- Address
- 7201 W MAIN ST
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-3023
- Phone
- (618) 925-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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