Mary Matthiesen, P.T.

NPI #1730361114 in Mchenry, Illinois

Provider Information

NPI Number: 1730361114
Entity Type: Individual
Name: Mary Matthiesen, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Nov 28, 2007
Last Updated: Jan 23, 2008

Practice Location

Address: 319 FRONT ST
City: Mchenry
State: Illinois
ZIP Code: 60050-5504
Phone: (815) 578-9655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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