MR. Matthew Reiot Klebenow, O.T.

NPI #1043567720 in Shorewood, Illinois

Provider Information

NPI Number: 1043567720
Entity Type: Individual
Name: MR. Matthew Reiot Klebenow, O.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: O.T.
Enumeration Date: Aug 13, 2012
Last Updated: Aug 13, 2012

Practice Location

Address: 852A SHARP DRIVE
Address 2: PROVENA PHYSICAL THERAPY & INDUSTRIAL REHAB. CENTER
City: Shorewood
State: Illinois
ZIP Code: 60404
Phone: (815) 741-7416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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