Doctor Name: | MATTHEW CHARLES KOWANTZ |
NPI Number: | 1205149267 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 012942 |
Business Practice Address: | 7575 5 Mile Rd Cincinnati, OH - 452304346 |
Business Phone Number: | 5132334360 |
Business Fax Number: | 5132334361 |
Mailing Address: | 4701 Creek Rd, Suite 110 CINCINNATI |
State: | OH |
Postal Code: | 452428398 |
Phone Number: | 5137339333 |
Fax Number: | 5135882479 |
NPI Enumeration Date: | 07/20/2010 |
NPI Last Update Date: | 10/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 012942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |