Doctor Name: | MARY MATTHIESEN |
NPI Number: | 1730361114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 070003889 |
Business Practice Address: | 319 Front St Mchenry, IL - 600505504 |
Business Phone Number: | 8155789655 |
Business Fax Number: | 8155789642 |
Mailing Address: | 319 Front St, MCHENRY |
State: | IL |
Postal Code: | 600505504 |
Phone Number: | 8155789655 |
Fax Number: | 8155789642 |
NPI Enumeration Date: | 11/28/2007 |
NPI Last Update Date: | 01/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070003889 |
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 |