Deepa Mathew

NPI #1205015484 in Oak Park, Illinois

Provider Information

NPI Number: 1205015484
Entity Type: Individual
Name: Deepa Mathew
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 24, 2007
Last Updated: Oct 24, 2007

Practice Location

Address: 603 WASHINGTON BLVD APT 3
City: Oak Park
State: Illinois
ZIP Code: 60302-3980
Phone: (708) 763-0506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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