Doctor Name: | REBECCA S MATTESON |
NPI Number: | 1457437170 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPT |
License Number: | 070-013899 |
Business Practice Address: | 1850 W Winchester Rd Ste. #220 Libertyville, IL - 600485357 |
Business Phone Number: | 8473629050 |
Business Fax Number: | 8473629486 |
Mailing Address: | 100 E Irving Park Rd, Ste. #107 ROSELLE |
State: | IL |
Postal Code: | 601722048 |
Phone Number: | 6304390009 |
Fax Number: | 6304390011 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 03/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-013899 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |