Doctor Name: | NICHOLE MARIE MATUSZAK |
NPI Number: | 1306907506 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 05008714A |
Business Practice Address: | 1120 S Calumet Rd Chesterton, IN - 463043285 |
Business Phone Number: | 2199839675 |
Business Fax Number: | |
Mailing Address: | 403 N. Main St., WANATAH |
State: | IN |
Postal Code: | 46390 |
Phone Number: | 2192415593 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05008714A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |